Paraganglioma de cuerpo carotideo
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i2.1503Keywords:
carotid body, paraganglioma, tinnitus, surgery, nekc painAbstract
Context: the paragangliomas of the carotid body are adrenal tumors of greater frequency among the paragangliomas; In general terms, they are infrequent and must be diagnosed by imaging techniques to characterize the anatomy and degree of tumor invasion, in order to plan their surgery.
Objective: To evaluate the institutional experience of the Hospital Carlos Andrade Marin in the management of tumors of the carotid body.
Subjects and methods: The retrospective study analyzed the medical records of 26 patients with paragangliomas of the carotid body treated in the Carlos Andrade Marín Hospital in Quito, in a period of 21 months; It is complemented by a review of the bibliography.
Results: of the total universe studied, paragaglioma was present in 20 women, corresponding to 76%, and in 6 men, corresponding to 23%. The average tumor size in the patients was 3.7 ± 1.4 cm. According to the classification of Shamblin paraganglioma in 74% of patients were in classification II, 22% were in classification I, while 37% were in classification III. The average bleeding in the patients was 331 ± 284 ml. The surgical time was 112 ± 37 minutes. Complete resection of the tumor was performed in 100% of the patients, where in 7.4% there were cranial nerve lesions and other complications occurred in 7.4% of the patients.
Conclusions: The experience of the surgical team of the Hospital Carlos Andrade Marín offers a safe alternative, with satisfactory results and low incidence of long-term sequelae
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