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Title: Carotid and vagal body paragangliomas
Authors: Del Guercio, Luca
Narese, Donatella
Ferrara, Doriana
Butrico, Lucia
Padricelli, Andrea
Porcellini, Massimo
Keywords: Carotid body tumor
Vagal paraganglioma
Issue Date: 2013
Citation: Del Guercio L, Narese D, Ferrara D, Butrico L, Padricelli A, Porcellini M. Carotid and vagal body paragangliomas. Translational Medicine @ UniSa 2013;6(3):11-15
Abstract: Between 1972 and 2012, 25 patients presenting 32 paragangliomas of the neck were observed. Tumor locations included the carotid body (CBTs) in 21 patients and the vagus nerve in 4. Four patients had bilateral CBT and one a bilateral vagal tumor; a metachronous bilateral jugulare paraganglioma was diagnosed in one patient with bilateral CBT Shamblin type III. Five patients presented CBTs type II and three type III. Preoperative embolization was performed in 5 CBTs, with no significant difference in blood loss. Twenty-nine paragangliomas were resected (with three internal carotid artery resection): there were no cerebrovascular accident or perioperative death. Nine patients (36%) had cranial nerve palsy prior to surgery and a postoperative nerve dysfunction occurred in four other tumors (16%). Persistent nerve deficits occurred in 3 patients (12%). No evidence of malignancy was shown, intraoperatively or during a postoperative follow-up period (9 months to 18 years; mean: 8 years).
ISSN: 2239-9747
Appears in Collections:Translational Medicine @ UniSa. Vol.6(may.-aug.2013)

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