J Korean Surg Soc.  2011 Oct;81(4):291-294. 10.4174/jkss.2011.81.4.291.

Huge carotid body paraganglioma

• Park SJ
• Kim YS
• Cho HR
• Kwon TW

• KMID: 1445752
• DOI: http://doi.org/10.4174/jkss.2011.81.4.291

Abstract

A 33-year-old woman was admitted to our hospital with a slow-growing mass in the left side of her neck. The mass was found to be a huge (73 x 56 x 54 mm) carotid body paraganglioma. Another 21 mm-size tumor was incidentally detected at the right carotid bifurcation. She had hoarseness and Horner's syndrome of her left side. Both tumors were surgically removed. There were no cerebrovascular complications but some neurologic complications occurred when the left tumor was removed.

Keyword

Carotid body tumor; Horner syndrome; Hoarseness

MeSH Terms

Adult
Carotid Body
Carotid Body Tumor
Female
Hoarseness
Horner Syndrome
Humans
Neck

Figure

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  Fig. 1 Pre-operative computed tomography. White arrows indicate the carotid arteries.

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  Fig. 2 Magnetic resonance image. The left side mass surrounds the common, internal and externalcartoid arteries

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  Fig. 3 Pre-operative finding of left side tumor. A huge hypervascular tumor surrounds the left common, internal and external carotid arteries.

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  Fig. 4 Post-operative findings of left side tumor. Internal cartoid artery was reconstructed with the segment of external carotid artery.

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  Fig. 5 Pre-operative findings of right side tumor.

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  Fig. 6 Post-operative findings of right side tumor.

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  Fig. 7 Well defined nests of cuboidal cells (zellballen) are separated by highly vascularizedfibrous septa (H&E, ×400).

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