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颈动脉体瘤的术前超选择性栓塞及多学科治疗方法

Preoperative Super-Selective Embolization of Carotid Body Tumor and Multidisciplinary Approach.

作者信息

Selim Mohamed, AlJehani Shahad H, Aljuhani Alaa B, Awad Albayomy Amr

机构信息

Vascular Surgery, Al Azhar Faculty of Medicine, Cairo, EGY.

Vascular Surgery, King Fahad University Hospital, Dammam, SAU.

出版信息

Cureus. 2021 Jan 23;13(1):e12879. doi: 10.7759/cureus.12879.

DOI:10.7759/cureus.12879
PMID:33633908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7899247/
Abstract

A carotid body tumor (CBT) is a rare highly vascular tumor. Therefore, the assessment of the tumor's vessels preoperatively is significant to decrease the risk of vascular complications intraoperatively. We report a case of carotid body tumor in a 40-year-old female who presented with a headache and a pulsatile right neck mass. She underwent computed tomography (CT), which demonstrated a well-circumscribed tumor mass measuring 3 X 2.7 X 3.6 cm. Preoperatively, selective embolization was performed in which Onyx 18 (Medtronic, Dublin, Ireland) and precipitating hydrophobic injectable liquid (PHIL) 25% (Microvention Inc, California) were used, and that achieved 95% embolization of tumor blood supply. One day after embolization, complete surgical resection was done by a multidisciplinary team.

摘要

颈动脉体瘤(CBT)是一种罕见的高血管性肿瘤。因此,术前评估肿瘤血管对于降低术中血管并发症的风险具有重要意义。我们报告一例40岁女性颈动脉体瘤病例,该患者表现为头痛和右侧颈部搏动性肿块。她接受了计算机断层扫描(CT),结果显示有一个边界清晰的肿瘤肿块,大小为3×2.7×3.6厘米。术前进行了选择性栓塞,使用了Onyx 18(美敦力公司,爱尔兰都柏林)和25%的沉淀型疏水性可注射液体(PHIL,Microvention公司,加利福尼亚),实现了肿瘤供血95%的栓塞。栓塞一天后,由一个多学科团队进行了完整的手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/3683faf3f46d/cureus-0013-00000012879-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/9728e6e77992/cureus-0013-00000012879-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/30dc6bfbd107/cureus-0013-00000012879-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/3683faf3f46d/cureus-0013-00000012879-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/9728e6e77992/cureus-0013-00000012879-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/30dc6bfbd107/cureus-0013-00000012879-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d419/7899247/3683faf3f46d/cureus-0013-00000012879-i03.jpg

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引用本文的文献

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本文引用的文献

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Superselective carotid body tumor embolization with platinum-based coils.使用铂基线圈进行超选择性颈动脉体瘤栓塞术。
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颈动脉体及相关肿瘤:具有临床/外科意义的最新综述
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