Shlomin V V, Khrustalev M I, Puzdriak P D, Bondarenko P B, Iurtaev E A, Shloĭdo E A, Senotrusov O V, Cheplygin V S, Oboev K N
Department of Vascular Surgery, Municipal Multimodality Hospital #2, Saint Petersburg, Russia.
Department of Oncomaxillofacial Plastic Surgery and Dentistry, Municipal Clinical Oncological Dispensary, Saint Petersburg, Russia.
Angiol Sosud Khir. 2020;26(4):155-159. doi: 10.33529/ANGIO2020417.
Described herein is a clinical case report regarding successful surgical treatment of a female patient presenting with a large paraganglioma of the right common carotid artery. On admission, the woman had complained of a mass in her neck, having significantly enlarged within the previous 6 months, with the appearance of dysphagia and moderate pain syndrome. The findings of multislice computed angiography and ultrasonographic duplex angioscanning of the brachiocephalic arteries helped to verify the location, size, and topography of the tumour. Taking into account the diagnosed secondary foci in the lungs, it was decided to first perform embolization of the artery supplying the tumour, which was followed by biopsy of tissue of the neoplasm. After histological verification and ruling out malignancy, successful radical resection of the paraganglioma was performed.
本文描述了一例关于成功手术治疗一名患有右侧颈总动脉巨大副神经节瘤的女性患者的临床病例报告。入院时，该女性主诉颈部有肿块，在过去6个月内明显增大，并出现吞咽困难和中度疼痛综合征。多层计算机血管造影和超声双功血管扫描对头臂动脉的检查结果有助于确定肿瘤的位置、大小和形态。考虑到肺部已诊断出继发性病灶，决定首先对供应肿瘤的动脉进行栓塞，随后对肿瘤组织进行活检。在组织学验证并排除恶性肿瘤后，成功地对副神经节瘤进行了根治性切除。
