Syed Muhammad Azeem* and Omer Ehsan
Department of Vascular Surgery, Shifa International Hospital, PakistanFulltext PDF
Objective: To analyze the outcomes of patients with Carotid body tumors of neck in a tertiary care hospital. To compare the effect of preoperative embolization in CBT.
Study design: Retrospective study.
Place and duration of study: Shifa International Hospital, Islamabad. From 1998 to 2019.
Methodology: Vascular data base was searched from 1998 to 2019 for patients who presented with pulsatile, painless neck swelling in anterior triangle of the neck. A total of 998 cases were reviewed out of which 48 cases were included in the study. All had preoperative CT scan done and all underwent surgical excision of the tumor.
Results: A total of 48 cases were included in the study during the period of 1998 to 2019, 17 were male and 31 were female with age range 20 years to 82 years with median age of 45 years. Five cases were referred to us by the radiology department with incidental diagnosis of CBT while performing ultrasound guided FNAC of provisionally diagnosed thyroid swelling or cervical lymph node. All patients presented to the hospital with complaints of painless neck swelling with 27 cases having left sided CBT, 13 with right sided CBT and 8 bilateral CBT reported.
Conclusion: Carotid body tumors do not present with any specific symptoms. Surgical excision is the main stay of treatment. Pre-operative embolization reduces surgical complications.
Carotid body tumor; Hypoglossal nerve; Carotid artery; Paraganglioma; Chemodectoma
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