1999Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)Open access

A CASE OF CAROTID BODY TUMOR RESECTED WITH CUSA

Masanori Sakaguchi, Ken Morimoto, Hiroaki Kinoshita, Kenichi Wakasa, Shinichi Mikami

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Abstract

Carotid body tumors, which arise in the bifurcation of the common carotid arteries, are rare. Since these tumors generally adhere to the wall of the carotid artery and involve the internal and external arteries, it difficult to resect the tumors without injuring the carotid arterial wall. Therefore the tumors are often resected together with the carotid artery. We report a case of carotid body tumor, which was removed completely with CUSA. A 66-year-old woman was admitted because of a right neck mass. Ultrasonography revealed a tumor sitting in the bifurcation of the common carotid arteries. Carotid angiography showed widening of the branching angle of the carotid artery and the presence of a hypervascular tumor between the internal and external arteries on the carotid bifurcation. Resection of the tumor was performed without simultaneous excision of the carotid artery. The tumor was completely removed with CUSA. It was concluded that CUSA was a useful means to remove the carotid body tumor from the wall of the carotid artery.

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Carotid body tumors, which arise in the bifurcation of the common carotid arteries, are rare. Since these tumors generally adhere to the wall of the carotid artery and involve the internal and external arteries, it difficult to resect the tumors without injuring the carotid arterial wall. Therefore the tumors are often resected together with the carotid artery. We report a case of carotid body tumor, which was removed completely with CUSA. A 66-year-old woman was admitted because of a right neck mass. Ultrasonography revealed a tumor sitting in the bifurcation of the common carotid arteries. Carotid angiography showed widening of the branching angle of the carotid artery and the presence of a hypervascular tumor between the internal and external arteries on the carotid bifurcation. Resection of the tumor was performed without simultaneous excision of the carotid artery. The tumor was completely removed with CUSA. It was concluded that CUSA was a useful means to remove the carotid body tumor from the wall of the carotid artery.

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Available abstract

Carotid body tumors, which arise in the bifurcation of the common carotid arteries, are rare. Since these tumors generally adhere to the wall of the carotid artery and involve the internal and external arteries, it difficult to resect the tumors without injuring the carotid arterial wall. Therefore the tumors are often resected together with the carotid artery. We report a case of carotid body tumor, which was removed completely with CUSA. A 66-year-old woman was admitted because of a right neck mass. Ultrasonography revealed a tumor sitting in the bifurcation of the common carotid arteries. Carotid angiography showed widening of the branching angle of the carotid artery and the presence of a hypervascular tumor between the internal and external arteries on the carotid bifurcation. Resection of the tumor was performed without simultaneous excision of the carotid artery. The tumor was completely removed with CUSA. It was concluded that CUSA was a useful means to remove the carotid body tumor from the wall of the carotid artery.

Key concepts: Medicine, Carotid body, Carotid bifurcation, Carotid arteries, Common carotid artery, External carotid artery, Radiology, Internal carotid artery

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