Gaylis H, Davidge-Pitts K, Pantanowitz D
Department of Surgery, University of the Witwatersrand, Johannesburg.
S Afr Med J. 1987 Oct 3;72(7):493-6.
During a 22-year period (1962-1984) 52 carotid body tumours were encountered in 50 patients. In addition, 2 of the patients had tumours of the glomus intravagale. One patient had a recurrent tumour, the first one having been removed 23 years previously. The ages ranged from 23 to 80 years, the female/male ratio was 2:1, and the right side was affected twice as often as the left. Four patients were treated non-surgically; 3 were too elderly and frail to undergo the operation and in the 4th case the tumour was considered inoperable. In 2 cases excision was attempted but abandoned for technical reasons. In the remaining 44 patients 46 tumours were excised, with grafting of the internal carotid artery in 6 cases. There were 2 deaths (4.5%), 1 after hemiplegia and 1 a pulmonary embolus. Eight patients were left with cranial nerve palsy, which had been present preoperatively in 5 cases. Of the tumours 7 (13.5%) were found to be malignant. The results of endocrine studies when undertaken were normal. Although ultrasonography and computed tomography were used in some cases, arteriography was the definitive mode of investigation.
在1962年至1984年的22年期间，50例患者中发现了52例颈动脉体瘤。此外，2例患者患有迷走神经球瘤。1例患者有复发性肿瘤，首次肿瘤切除是在23年前。患者年龄在23岁至80岁之间，女性与男性比例为2:1，右侧受累频率是左侧的两倍。4例患者接受了非手术治疗；3例因年龄太大、身体太虚弱而无法接受手术，第4例患者的肿瘤被认为无法手术切除。2例尝试切除，但因技术原因放弃。其余44例患者中，46个肿瘤被切除，6例进行了颈内动脉移植。有2例死亡（4.5%），1例死于偏瘫，1例死于肺栓塞。8例患者遗留有脑神经麻痹，其中5例术前即已存在。7例肿瘤（13.5%）被发现为恶性。进行内分泌研究时结果正常。虽然在某些病例中使用了超声检查和计算机断层扫描，但动脉造影是确诊的检查方法。
