경동맥체 부신경절종

Management of Carotid Body Paraganglioma: Review of the literature with report of three cases

  • 박정수 (연세대학교 의과대학 외과학교실) ;
  • 김준식 (연세대학교 의과대학 외과학교실) ;
  • 홍원표 (연세대학교 의과대학 이비인후과학교실) ;
  • 최은창 (연세대학교 의과대학 이비인후과학교실) ;
  • 김동익 (연세대학교 의과대학 방사선과학교실)
  • Park Cheong-Soo (Department of Surgery, Yonsei University College of Medicine) ;
  • Kim Jun-Sik (Department of Surgery, Yonsei University College of Medicine) ;
  • Hong Won-Pyo (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Choi Eun-Chang (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Dong-Ik (Department of Radiology, Yonsei University College of Medicine)
  • 발행 : 1989.11.01

초록

Carotid body paraganglioma is uncommon, with appoximately 900 reports of it in the world literature, and with only 7 documented cases in the Korean literature. The classic carotid body paraganglioma develops in the bifurcation of common carotid artery and involves both the internal and external carotid arteries at it expands. The diagnosis may almost always be established preoperatively by selective angiography which shows a widening of the carotid bifurcation with a well defined vascular mass. Differential consideration of a single, lateral cervical mass in this location include branchial cleft cyst, neurogenic tumor, metastatic thyroid cancer, carotid body aneurysm and salivary gland tumor. Surgical therapy is the preferred method of treatment as these tumors are regarded as radioresistant. Because of their high vascularity and anatomical location, surgical removal of these tumors reguires a considerable degree of caution and a high degree of surgical expertise. With improved diagnostic and surgical technique, the morbidity and mortality has been reduced lately. This report details the management of 3 patients with carotid body paraganglioma who underwent safe resection by subadventitial dissection or using an internal vascular shunt.

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