Evans Megan, Minc Samantha, Almenoff Maxwell
West Virginia University School of Medicine. 1 Medical Center Dr, Morgantown, WV 26505, USA.
Division of Vascular and Endovascular Surgery, West Virginia University School of Medicine, Morgantown, WV. 1 Medical Center Dr, Morgantown, WV 26505, USA.
Ann Vasc Surg Brief Rep Innov. 2023 Jun;3(2). doi: 10.1016/j.avsurg.2023.100185. Epub 2023 Mar 11.
Treatment of carotid body tumors (CBTs) can be complicated by the presence of hormonal activity. This case describes the treatment of a 65-year-old woman that presented with an abnormally high blood pressure and was found to have a neck mass. Diagnostic imaging along with urine metanephrines revealed this mass to be a hormonally active CBT. Careful resection along with preoperative treatment with an alpha blockade allowed for a successful complete removal of the tumor without any complications. Although CBTs tend to be benign, and hormonally active tumors are rare, one must always maintain a level of suspicion of hormonal activity to prevent catastrophic operative events.
颈动脉体瘤（CBTs）的治疗可能因激素活性的存在而变得复杂。本病例描述了一名65岁女性的治疗情况，该女性出现血压异常升高，经检查发现颈部有肿块。诊断性影像学检查及尿间甲肾上腺素检测显示该肿块为具有激素活性的CBT。在术前进行α受体阻滞剂治疗的同时仔细切除肿瘤，成功实现了肿瘤的完整切除且未出现任何并发症。尽管CBTs通常为良性，且具有激素活性的肿瘤较为罕见，但必须始终保持对激素活性的怀疑，以防止发生灾难性的手术事件。
