Year: 2015 | Month: March | Volume 2 | Issue 1

Carotid Body Tumors: Series of Case Report and Retrospective Analysis: An Institutional Audit

Rajnish Nagarkar Shirsendu Roy Mohammad Akheel Vijay Palve Prakash Pandit Nayana Kulkarni
DOI:10.5958/2394-4196.2015.00005.9

Abstract:

The aim was to perform a retrospective audit of rare vascular neoplasm - Carotid body tumor (CBT) in our cancer center. Materials and Methods: An institutional retrospective audit was performed in Curie Manavata Cancer Centre, Nasik, India from 30th June 2013 to 30th June 2014. Total of 5 patients were diagnosed with CBT in a period of 6 months. Results: Out of 5 patients who were diagnosed with CBT, 2 (40%) were males and 3 (60%) were females with a ratio of 1:1.5. The types of CBT were familial in 2 patients (40%), sporadic in 2 patients (40%) and hyperplastic in 1 patient (20%). The clinical presentation of the 5 cases was, 3 patients (60%) had a painless, progressive swelling, 2 patients (40%) had pre-auricular pain, and 1 patient (20%) was identified in routine follow-up. All patients underwent surgical excision of CBT with no need to pre-operative embolization. 40% of patients had cranial nerve injury and hematoma formation. 1 out of 5 patients received post-operative adjuvant radiotherapy due to large tumor size and lymphatic spread. No recurrence was found after a follow-up of 6 months. Conclusion: Surgical management of CBT remains a challenge for head and
neck surgeon. Despite a reduction in stroke and mortality, there can be a significant morbidity associated inadvertent adjacent cranial nerve injuries. However, our audit shows these tumors can be managed well with meticulous planning and execution of the surgery.



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