颈动脉体瘤是由颈动脉分叉处的神经c细胞引起的缓慢生长的颈部肿块。大多数无症状,并被诊断为偶然。手术切除被认为是减少并发症的首选治疗方法。在本系列中,我们报告了10例颈动脉体瘤和我们的机构经验。所有患者均接受多普勒超声检查的放射学评估,对比增强计算机断层扫描和MR血管造影。6例经宫颈切除术。肿瘤全部切除。其中一例由于血管损伤而需要术中进行隐静脉移植,并且还患有术后声带麻痹。其余的恢复顺利。颈动脉体瘤虽然罕见且看似无痛,但如果不及时治疗,可能会引起实质性症状。诊断和治疗都需要迅速的多模态方法,以避免重大并发症。
Carotid body tumors are slow growing neck masses that arise from the neural crest cells at the carotid bifurcation. Majority are asymptomatic and are diagnosed incidentally. Surgical excision is accepted as the treatment of choice to reduce complications. In the present series, we report 10 cases of carotid body tumors and our institutional experience. All patients underwent radiological evaluation with an ultrasonography with Doppler, contrast enhanced computed tomography and MR angiography. 6 cases were operated by a transcervical excision. The tumor was excised in tototranscervically. One of the cases required saphenous vein graft intraoperatively due to vascular injury and also had postoperative vocal cord palsy. The rest had an uneventful recovery. Carotid body tumors although rare and seemingly indolent can cause substantial symptoms if left untreated. A prompt multi modality approach is needed for both diagnosis and treatment to avoid major complications.