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Updated: Apr 11, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Cervical paragangliomas: single centre experience with 44 cases.

A M R Ferrante1, G Boscarino1, M A Crea2

  • 1Vascular Surgery Unit and.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|May 29, 2015
PubMed
Summary

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Surgical resection is the primary treatment for head and neck paragangliomas (PGLs), including carotid body tumors (CBTs). This approach ensures complete disease removal with minimal complications, though genetic testing is advised for familial cases.

Area of Science:

  • Neuroendocrinology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Paragangliomas (PGLs) are rare neuroendocrine tumors, with carotid body tumors (CBTs) being the most common type in the neck.
  • Management strategies for cervical PGLs require careful consideration due to their location and potential complications.

Purpose of the Study:

  • To report the institutional experience in managing cervical paragangliomas through surgical resection.
  • To analyze tumor characteristics, diagnostic methods, surgical outcomes, and long-term follow-up of patients with cervical PGLs.

Main Methods:

  • Retrospective analysis of 33 patients with 44 cervical PGLs treated surgically between 2000 and 2014.
  • Review of tumor characteristics, family history, diagnostic procedures, surgical techniques, and patient outcomes.
Keywords:
Carotid body tumourParaganglioma

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Main Results:

  • A female predominance (76%) and a 20% familial occurrence rate were observed.
  • Complete tumor resection was achieved in all cases, with no mortality. Transient cranial nerve deficits occurred in 20% of patients, and permanent palsy in 6.7%.
  • No lymph node metastasis or perioperative stroke/TIA were reported.

Conclusions:

  • Surgical resection is the definitive therapeutic option for cervical paragangliomas, ensuring complete disease eradication.
  • Genetic analysis is recommended for patients with bilateral lesions or a positive family history.
  • Meticulous preoperative planning with advanced imaging and expertise in vascular surgery are crucial for minimizing postoperative complications. Long-term follow-up is essential.