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双侧颈动脉体瘤:外科医生视角的病例报告

Bilateral carotid body tumours: a case report from surgeon's perspective.

作者信息

Chandra Sakaran Kishen Raj, Tiew Toot, Kamil Khidhir, Habeebullah Khan Hisham Arshad, Idris Mohamad Azim, Safri Lenny Suryani

机构信息

Vascular Unit, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Cheras 56000, Kuala Lumpur, Malaysia.

出版信息

J Surg Case Rep. 2024 Mar 13;2024(3):rjae011. doi: 10.1093/jscr/rjae011. eCollection 2024 Mar.

Abstract

Carotid body tumour (CBT) is the most common paraganglioma of the head and neck and may compromise neurovascular structures such as carotid vessels, and cranial nerves. Intracranial extension from the mass is possible if left untreated. The main treatment for CBT is surgical resection albeit extremely challenging due to tumour hypervascularity and its relationship to the carotid artery. A bilateral CBT, however, is a rare occurrence. Herein, we present a case of a man who presented to us with bilateral painless and palpable neck mass. He underwent staged bilateral CBT excision and it was complicated with left hypoglossal nerve palsy, which recovered over time.

摘要

颈动脉体瘤(CBT)是头颈部最常见的副神经节瘤,可能会累及神经血管结构,如颈动脉和颅神经。如果不治疗,肿块有可能向颅内延伸。CBT的主要治疗方法是手术切除,不过由于肿瘤血管丰富及其与颈动脉的关系,手术极具挑战性。然而,双侧CBT较为罕见。在此,我们报告一例男性患者,他因双侧无痛性、可触及的颈部肿块前来就诊。他接受了分期双侧CBT切除术,术后出现左侧舌下神经麻痹,但随着时间推移逐渐恢复。

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