Pokrovsky A V, Moskalenko Y D, Zingerman L S, Gashtov A K, Golosovskaya M A
Vopr Onkol. 1979;25(9):3-6.
The authors present an analysis of clinical, angiographic and operation finginds in 11 patients showing large chemodectomas with involvement of the common, external and internal carotid arteries and jugular vein. The carotid body angiography was found to be of great diagnostic value. In the presence of a patent internal carotid in 10 cases radical chemodectomy was performed, preserving the patent internal carotid and the vein. In case of a pathologically convoluted internal carotid the common carotid artery was resected with an end-to-end anastomosis. Late results were favourable even in patients with histological signs of an incipient malignant transformation of chemodectomy.
作者对11例显示有巨大化学感受器瘤且累及颈总动脉、颈外动脉、颈内动脉和颈静脉的患者的临床、血管造影和手术结果进行了分析。发现颈动脉体血管造影具有很大的诊断价值。10例颈内动脉通畅的患者实施了根治性化学感受器瘤切除术,保留了通畅的颈内动脉和静脉。对于颈内动脉病理扭曲的病例,切除颈总动脉并进行端端吻合。即使是化学感受器瘤切除术后有早期恶性转化组织学迹象的患者,远期结果也较好。