International Journal of Contemporary Surgery
  • Year: 2018
  • Volume: 6
  • Issue: 2

Bilateral carotid body tumor/chemodectoma/paraganglioma-A rare case report

1Junior Resident (PG2), Radio Diagnosis, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh

2Assistant Professor, ENT, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh

3Professor, Radio Diagnosis, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh

*Corresponding author: Dr. Mohd Fahim Khan Department of Radiodiagnosis, Saraswathi Institute of Medical Sciences, Haour-245304, UP, India. Email-fahim0311@gmail.com

Online published on 16 August, 2018.

Abstract

A carotid body tumour is a rare presentation paraganglioma which typically presents as a slow growing, painless neck mass found along the anterior border of the sternocleidomastoid muscle, in region of carotid sheath and careful preoperative evaluation both clinical and radiological is required to find out the functional and vascular status of these tumours.

Carotid body paragangliomas were diagnosed by Doppler ultrasound, carotid artery angiography, cranial computed tomography and magnetic resonance imaging. These tumours are generally benign but possess aggressive local growth potential. Therefore, definitive treatment requires surgical resection.

Here we describe a case of a carotid body tumour in a 55yrs female presenting with a neck mass, its evaluation, management and the final outcome and review the most recent literature on this unusual top

A 55-year-old female patient presented with a neck swellings that had persisted for 2 years. On physical examination, a pulsating soft to firm painless mass measuring about 3 × 3 cm in right and 2*2 cm in left size was found on left side of her neck, near the jugulo carotid area, freely moveable horizontally, but not vertically with an audible systolic bruit. workup revealed bilateral carotid body tumourss(CBT); the largest was right-sided shamblin class II whereas the left sided was shamblin class I tumours

This case report emphasizes the significance of tharough evaluation. Although the condition is extremely rare, it is a potentially dangerous in its massive form if not timely diagnosed & managed properly. With the increasing awareness of such conditions. More & more cases could be detected. Bilateral CBTs are rare neoplasms with controversial treatment. The best treatment option should be tailored to each patient

Keywords

Carotid body paraganglioma, carotid body tumor, paraganglioma, chemodectoma, phaeochromocytoma