The Turkish Journal of Vascular Surgery
Yazarlar: Ufuk YETKİN, Cengiz ÖZBEK, Gönül GÜVENÇ, Ali GÜRBÜZ
Konular:-
Anahtar Kelimeler:Glomus caroticum tumors,Paragangliomas,Selective carotid angiography,Doppler ultrasonography
Özet: Purpose: Glomus caroticum tumors are slowly enlarging, neuroectodermal, rare tumors. Its surgery is very complicated due to vascular structures of neck, adjacent cranial nerves and it has a very vascular structure. In this study we presented the diagnosis methods, differential diagnosis and validity of surgical therapy for 12 cases which were hospitalized in the last 10 years with glomus caroticum prodiagnosis. Methods: In our clinic 12 patients with glomus caroticum tumor prodiagnosis were operated between 1992 and 2002. Seven of them were women (58.3 %) and average age was 44. In all, admittance complaint was neck mass. Average duration between the recognition of mass and admittance to hospital was 14 months. Selective carotis angiography and Doppler ultrasonography were the primary diagnosis methods. In all cases disease was unilateral and there wasn"t any familial case. We used our standart technique with general anesthesia in all patients. Masses were totally removed with surgical therapy. Results: Peroperatively we found that one case has cervical schwannoma which was misdiagnosed as GCT preoperatively. Mass was resected totally with its pedicle. Mortality rate was 0%, and there wasn"t any surgical complication peroperatively. Average following time was 4.2 years and we couldn"t find any neurologic complications or recurrences in early and late periods. Except cervical schwannoma case, histopathological evaluation was correlated with GCT in 11 cases. Average hospital stay was 3.8 days. Conclusion: Surgical resection is a curative therapy for GCT. Although surgical resection is the best therapy, it must be performed as early as possible and planned carefully taking into account its complications. We believe that, the reason of no mortality and morbidity in our series is the development of diagnosis and surgery techniques and careful peroperative subadventitial dissection principle. (Turkish J Vasc Surg 2003; 12(1): 11-17)