Paraganglioma de cuerpo carotideo

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

• Autor principal: Silva, Andrea (author)
• Altres autors: Tapia, Ruth (author)
• Format: article
• Idioma: spa
• Publicat: 2017
• Matèries: cuerpo carotideo; paraganglioma; acufeno; cirugía; dolor de cuello; carotid body; tinnitus; surgery; nekc pain
• Accés en línia: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1503