Fan David, Luster Stephanie, Eid Ibrahim G, Saied Calvino Abdul
Department of Surgery, Flushing Hospital Medical Center, Flushing, NY, USA.
Department of Surgery, Roger Williams Medical Center, Providence, RI, USA.
J Surg Case Rep. 2020 Mar 2;2020(3):rjaa030. doi: 10.1093/jscr/rjaa030. eCollection 2020 Mar.
Carotid body tumors (CBTs) are rare and usually require complex surgical resection. We present a case of a large 7-cm CBT successfully treated in a community cancer center using a multidisciplinary team approach. A 32-year-old male referred for surgical evaluation of an asymptomatic right neck mass. CT angiography showed a 7-cm tumor encasing the carotid vessels, including the bifurcation (Shamblin III). Preoperative angiography and embolization were performed by interventional radiology. The patient underwent surgical removal of the CBTs and required surgical reconstruction with a common carotid to internal carotid bypass using a polytetrafluoroethylene interposition graft. The hypoglossal nerve, vagus nerve and glossopharyngeal nerve were identified, meticulously dissected and preserved. The patient did well after surgery and recovered with no complications. This report examines the diagnosis, preoperative workup and surgical management of CBTs using a multidisciplinary team approach.
颈动脉体瘤（CBTs）较为罕见，通常需要进行复杂的手术切除。我们报告了一例7厘米大的CBTs病例，该病例在社区癌症中心通过多学科团队方法成功得到治疗。一名32岁男性因无症状的右侧颈部肿块前来接受手术评估。CT血管造影显示一个7厘米的肿瘤包绕着颈动脉血管，包括分叉处（沙姆布林III型）。术前血管造影和栓塞由介入放射科进行。患者接受了CBTs的手术切除，并需要使用聚四氟乙烯插入移植物进行颈总动脉到颈内动脉搭桥的手术重建。舌下神经、迷走神经和舌咽神经均被识别、仔细解剖并保留。患者术后恢复良好，未出现并发症。本报告探讨了使用多学科团队方法对CBTs进行诊断、术前检查和手术管理的情况。
