Padberg F T, Cady B, Persson A V
Am J Surg. 1983 Apr;145(4):526-8. doi: 10.1016/0002-9610(83)90052-1.
We believe that paragangliomas of the carotid body should be excised in all patients unless formidable medical conditions prohibit the use of general anesthesia. If these tumors are left unresected, they will eventually grow to invade the skull and kill the patient. With definitive diagnostic modalities available, in addition to comparatively low-risk anesthesia, autotransfusion, and replacement of the carotid artery, there are few patients who cannot be surgically treated. The important point is that although such a tumor is rare, its presence must always be considered when dealing with a lateral neck mass. Carotid arteriography should be performed when a carotid body tumor is suspected.
我们认为，除非存在严重的医疗状况而禁止使用全身麻醉，否则所有颈动脉体副神经节瘤患者均应接受手术切除。如果这些肿瘤不进行切除，它们最终会生长并侵犯颅骨，导致患者死亡。鉴于目前有确切的诊断方法，再加上相对低风险的麻醉、自体输血以及颈动脉置换技术，几乎没有患者无法接受手术治疗。重要的是，尽管这种肿瘤很罕见，但在处理侧颈部肿块时，必须始终考虑到其存在的可能性。当怀疑为颈动脉体瘤时，应进行颈动脉造影检查。
