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颈动脉体瘤:一例罕见神经内分泌肿瘤的病例报告

Carotid Body Tumor: A Case Report of a Rare Neuroendocrine Neoplasm.

作者信息

Alqhtani Ali J, Algahtani Samar M, Alharbi Mohammed K, Aljehani Muaath H, Alharbi Ahlam

机构信息

Radiology, King Abdulaziz Hospital, Jeddah, SAU.

Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

出版信息

Cureus. 2023 Jul 20;15(7):e42224. doi: 10.7759/cureus.42224. eCollection 2023 Jul.

Abstract

Carotid body tumors are rare neuroendocrine tumors originating from paraganglionic cells in the carotid body. Although these tumors are typically slow-growing and benign, their location and vascularity present unique challenges in management. Here, we present a case study of a 58-year-old male who presented with a painless, gradually enlarging neck mass over a six-month period. Physical examination revealed a non-tender, pulsatile mass measuring approximately 3 cm in the left carotid triangle. Imaging studies, including ultrasound and contrast-enhanced computed tomography, confirmed the presence of a well-defined, hypoechoic mass at the left carotid bifurcation, displacing adjacent vessels. A multidisciplinary team planned surgical resection, guided by imaging, resulting in the successful removal of the tumor. Histopathological examination confirmed the diagnosis of a carotid body tumor. This case report underscores the significance of accurate diagnosis, a multidisciplinary approach, and advanced imaging techniques in managing carotid body tumors. Surgical resection, guided by imaging, aims to achieve complete excision while preserving vital structures. Long-term follow-up is crucial to detect potential recurrence or progression early.

摘要

颈动脉体瘤是起源于颈动脉体副神经节细胞的罕见神经内分泌肿瘤。尽管这些肿瘤通常生长缓慢且为良性,但其位置和血管情况给治疗带来了独特挑战。在此,我们呈现一例58岁男性的病例研究,该患者在6个月期间出现无痛性、逐渐增大的颈部肿块。体格检查发现左侧颈动脉三角区有一个无压痛、搏动性肿块,大小约3厘米。包括超声和增强计算机断层扫描在内的影像学检查证实,在左颈动脉分叉处存在一个边界清晰的低回声肿块,推移了相邻血管。一个多学科团队在影像学引导下计划进行手术切除,成功切除了肿瘤。组织病理学检查确诊为颈动脉体瘤。本病例报告强调了准确诊断、多学科方法以及先进影像学技术在颈动脉体瘤治疗中的重要性。在影像学引导下进行手术切除旨在在保留重要结构的同时实现完整切除。长期随访对于早期发现潜在的复发或进展至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6333/10440150/3d6e70b85b74/cureus-0015-00000042224-i01.jpg

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