Guerrier B, Makeieff M, Louche C, Mouketou J B, Crampette L
Service ORL et Chirurgie Cervico-faciale, Hôpital Saint-Charles, CHU Montpellier.
J Chir (Paris). 1995 Jun-Jul;132(6-7):287-94.
During the period 1971-1993, 33 patients were treated for cervical chemodectomas, 41 tumors were diagnosed. Seven patients had multicentric tumors. All patients expect one with bilateral carotid tumor were treated surgically. A carotid resection was performed in 4 patients. Six patients were given radiation therapy: five patient after surgery and one treated by irradiation alone. During the follow-up period one patient died of bone metastasis 6 year after a partial surgery and radiation therapy, and one had local recurrence treated with irradiation. The surgical management is the major treatment of these tumors, it revealed no postoperative cerebrovascular accident and limited complications secondary to unavoidable nerves sacrifice. Radiation therapy is performed only on particular cases: surgery contra-indications and nonradical resection.
在1971年至1993年期间,33例患者接受了颈部化学感受器瘤治疗,共诊断出41个肿瘤。7例患者有多发肿瘤。除1例双侧颈动脉肿瘤患者外,所有患者均接受了手术治疗。4例患者进行了颈动脉切除术。6例患者接受了放射治疗:5例在手术后接受放疗,1例仅接受放疗。在随访期间,1例患者在部分手术和放疗后6年死于骨转移,1例出现局部复发并接受了放疗。手术治疗是这些肿瘤的主要治疗方法,未发现术后脑血管意外,且因不可避免的神经牺牲导致的并发症有限。放射治疗仅用于特殊情况:手术禁忌和非根治性切除。