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Carotid body tumors

T L Dent, N W Thompson, W J Fry

    Surgery
    |September 1, 1976
    PubMed
    Summary

    Carotid body tumors require mandatory arteriography and should be treated as malignant, with excision being the primary treatment. Radiation therapy offers little benefit and complicates surgical removal.

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    Area of Science:

    • Vascular Surgery
    • Surgical Oncology
    • Head and Neck Surgery

    Background:

    • Carotid body tumors are rare neoplasms arising from the carotid bodies.
    • Treatment strategies for these tumors remain controversial, particularly regarding surgical intervention, preoperative imaging, and adjuvant therapies.

    Purpose of the Study:

    • To evaluate the management and outcomes of carotid body tumors treated over a 30-year period.
    • To address controversies in treatment, including the necessity of excision, the role of arteriography, radiation therapy, malignancy criteria, and carotid artery replacement.

    Main Methods:

    • Retrospective review of 15 patients with 16 carotid body tumors treated at a single medical center.
    • Long-term follow-up (minimum 7 years) for all patients.
    • Surgical techniques including subadventitial excision and carotid artery replacement with saphenous vein grafts were employed.

    Main Results:

    • Arteriography was found to be diagnostic and mandatory for suspected carotid body tumors.
    • Radiation therapy demonstrated minimal value and increased surgical complexity.
    • All tumors were considered malignant, with a familial tendency noted, including a rare instance of both benign and malignant tumors in one family.
    • No operative deaths or major complications occurred with total excision; however, two patients died from tumor progression after biopsy without excision.

    Conclusions:

    • Mandatory arteriography is essential for diagnosing carotid body tumors.
    • Radiation therapy is not recommended due to limited efficacy and increased surgical difficulty.
    • All carotid body tumors should be presumed malignant and treated with complete surgical excision.

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