RESUMO
Carotid body tumors represent a relatively uncommon finding in vascular surgery. We present the case of a 62 years old man with a right carotid paraganglioma diagnosed by cervical ultrasound scanner, magnetic resonance imaging and carotid arteriography. We decided to treat the patient in two times. In a first approach the tumor was percutaneously embolized, later on in a second time the paraganglioma was surgically resected. The patient is doing well without echographic evidence of tumor 3 years after the operation. This modality of treatment, embolization followed by surgical excision is a useful and valuable alternative.
Assuntos
Neoplasias Encefálicas/terapia , Tumor do Corpo Carotídeo/terapia , Neoplasias Encefálicas/cirurgia , Tumor do Corpo Carotídeo/cirurgia , Angiografia Cerebral , Embolização Terapêutica/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos/métodosRESUMO
Los paragangliomas carotídeos son un diagnóstico poco frecuente en patología vascular. Presentamos el caso de un paciente varón de 62 años con un paraganglioma carotídeo derecho diagnosticado por ecografía, TAC, RMN y arteriografía cervical que fue tratado en dos tiempos. En una primera fase se efecúó embolización percutánea del tumor evidenciándose arteriograficamente la disminución en su irrigación arterial. En una segunda fase se procedió a la resección quirúrgica. El resultado ha sido excelente estando el paciente asintomático y si evidencia de tumor al tumor al estudio ecográfico cervical a los 3 años. En casos seleccionados, ésta aproximación terapéutica nos parece de utilidad e interés en el tratamiento de este tipo de lesiones
Carotid body tumors represent a relatively uncommon finding in vascular surgery. We present the case of a 62 years old man with a right carotid paraganglioma diagnosed by cervical ultrasound scanner, magnetic resonance imaging and carotid arteriography. We decided to treat the patient in two times. In a first approach the tumor was percutaneously embolized, later on in a second time the paraganglioma was surgically resected. The patient is doing well without echographic evidence of tumor 3 years after the operation. This modality of treatment, embolization followed by surgical excision is a useful and valuable alternative
