Fruhwirth J, Amann W, Linck G, Kainz J, Klein G E
Klinische Abteilung für Gegässchirurgie, Universitätsklinik für Chirurgie Graz.
Zentralbl Neurochir. 1996;57(4):196-200.
Surgical resection of paragangliomas in the cervical region is complicated due to the tumour vascularity and is associated with the risk of major intraoperative blood loss. Preoperative angiographic embolization of the tumour supplying arteries by intravascular injection of gelfoam and implantation of microcoils was performed to decrease tumour vascularity. We report the case of a 78 years old female patient suffering from a carotid body tumour. Computed tomography demonstrated spreading of the tumour from the carotid bifurcation up to the base of the skull. Primary surgical resection was aborted because of the bleeding tendency of the tumour. Tumour embolization was required in order to achieve the therapeutic aim of a complete extirpation of tumourous tissue by preserving the vascular system of the internal carotid artery. The reported case is completed by a review of literature.
由于肿瘤血管丰富，颈部副神经节瘤的手术切除很复杂，且与术中大量失血的风险相关。通过血管内注射明胶海绵和植入微线圈对肿瘤供血动脉进行术前血管造影栓塞，以减少肿瘤血管。我们报告一例78岁患有颈动脉体瘤的女性患者。计算机断层扫描显示肿瘤从颈动脉分叉处蔓延至颅底。由于肿瘤的出血倾向，初次手术切除中止。为了通过保留颈内动脉血管系统实现完全切除肿瘤组织的治疗目标，需要进行肿瘤栓塞。本文通过文献回顾完善了所报道的病例。
