Shugar M A, Mafee M F
Head Neck Surg. 1982 Jul-Aug;4(6):518-21. doi: 10.1002/hed.2890040611.
The carotid body tumor, although uncommon, is frequently considered in the differential diagnosis of cervical masses. When this lesion becomes a serious diagnostic possibility, angiography must be considered. Currently angiography is the only nonsurgical modality that can reliably confirm the clinical diagnosis. We describe the case of a patient in whom a carotid body tumor was diagnosed preoperatively by dynamic computerized tomography. Dynamic computerized tomography, a relatively noninvasive technique, should now be deemed the technique of choice for diagnosis of carotid body tumors, thus avoiding the potential morbidity of angiography. In patients for whom tumor removal is indicated, however, preoperative angiography is still mandatory in order to plan the best operative procedure.
颈动脉体瘤虽不常见,但在颈部肿块的鉴别诊断中常被考虑。当这种病变成为严重的诊断可能性时,必须考虑血管造影。目前,血管造影是唯一能可靠地确诊临床诊断的非手术方法。我们描述了一例术前通过动态计算机断层扫描诊断为颈动脉体瘤的患者。动态计算机断层扫描是一种相对无创的技术,现在应被视为诊断颈动脉体瘤的首选技术,从而避免血管造影潜在的发病率。然而,对于需要切除肿瘤的患者,术前血管造影仍然是必要的,以便规划最佳的手术程序。