A 36-year old female patient was admitted to our hospital in October 2005, with symptoms of cough and phlegmatic stagnation plus chest distress for over 5 months. She had received an X-ray examination at a local hospi...A 36-year old female patient was admitted to our hospital in October 2005, with symptoms of cough and phlegmatic stagnation plus chest distress for over 5 months. She had received an X-ray examination at a local hospital before her hospitalization, and it was Shown that there was a small round-like pulmonary focus. No improvement was found after a pre-antiinflammatory treatment for the cough.展开更多
Background: Carotid body tumour (CBT) is a rare neoplasm, yet it is the commonest head and neck paraganglioma. In Iraq, relevant literature is sparse. Herein, we present our second case series. Methodology: Patients w...Background: Carotid body tumour (CBT) is a rare neoplasm, yet it is the commonest head and neck paraganglioma. In Iraq, relevant literature is sparse. Herein, we present our second case series. Methodology: Patients with CBTs that were operated upon in the Department of Thoracic and Vascular Surgery, Baghdad Medical City from 2010 to 2014 were enrolled. History and examination were followed by a workup of duplex ultrasonography, CT scan, magnetic resonance imaging, CT or conventional carotid angiography. Surgical exploration via a standard anterolateral cervical incision and subadventitial dissection was used to resect the tumours with preservation of carotid arteries. Intra-luminal carotid shunts and vein grafts were prepared to be used if necessary. Results: There were 5 males and 2 females aging 17 - 46 with a mean of 32.9 ± 9.8 year. All patients had slowly growing painless pulsatile swelling below mandiblular angle for long durations (1 - 25 years) and a positive Fontaine’s sign. All tumours were benign, unilateral (right n = 4, left n = 3) and ranging in size from 3 × 3 cm to 6.4 × 3.2 cm. Beside US neck exam, carotid angiography was done in 5 patients. According to Shamblin classification, 4 were class II, 2 class I and 1 class III. All tumours were successfully resected with preservation of ICA. However, the ECA was safely ligated twice due to severe involvement. Tongue deviation occurred once (14.3%) but no patient died and none had stroke or recurrence. Conclusions: Our results of surgery for CBT compare very well with the international standards.展开更多
Carotid body tumor （CBT） is a rare tumor, which is composed of chromaffin cells, groupsof cells associated with the autonomous system, occurring at the carotid bifurcation. This tumor grows slowly, usually with a hi...Carotid body tumor （CBT） is a rare tumor, which is composed of chromaffin cells, groupsof cells associated with the autonomous system, occurring at the carotid bifurcation. This tumor grows slowly, usually with a history of several years and seldom undergoes malignant transformation. The majority of CBT are benign, only few cases of malignant CBTs were reported in the literature. 1.3 Overa period of 10 years （1993-2004）, 28 patients with CBT were diagnosed and surgically treated in the Department of Oral and Maxillofacial Surgery,展开更多
Paragangliomas are extra‑adrenal neuroendocrine tumors that derive from neural crest.In general,they are benign tumors but few cases had shown a tendency to metastasize.Malignant forms have been reported previously wi...Paragangliomas are extra‑adrenal neuroendocrine tumors that derive from neural crest.In general,they are benign tumors but few cases had shown a tendency to metastasize.Malignant forms have been reported previously with intracranial metastasis from duodenal origin,but primary intracranial origin represents a rare and unusual location for such tumors.Here,we report a rare case of a 48‑year‑old lady who presented with symptomatic right‑sided insular mass with negative metastatic work up.A complete surgical resection had been done with an unexpected diagnosis of primary gangliocytic paraganglioma with malignant features.展开更多
文摘A 36-year old female patient was admitted to our hospital in October 2005, with symptoms of cough and phlegmatic stagnation plus chest distress for over 5 months. She had received an X-ray examination at a local hospital before her hospitalization, and it was Shown that there was a small round-like pulmonary focus. No improvement was found after a pre-antiinflammatory treatment for the cough.
文摘Background: Carotid body tumour (CBT) is a rare neoplasm, yet it is the commonest head and neck paraganglioma. In Iraq, relevant literature is sparse. Herein, we present our second case series. Methodology: Patients with CBTs that were operated upon in the Department of Thoracic and Vascular Surgery, Baghdad Medical City from 2010 to 2014 were enrolled. History and examination were followed by a workup of duplex ultrasonography, CT scan, magnetic resonance imaging, CT or conventional carotid angiography. Surgical exploration via a standard anterolateral cervical incision and subadventitial dissection was used to resect the tumours with preservation of carotid arteries. Intra-luminal carotid shunts and vein grafts were prepared to be used if necessary. Results: There were 5 males and 2 females aging 17 - 46 with a mean of 32.9 ± 9.8 year. All patients had slowly growing painless pulsatile swelling below mandiblular angle for long durations (1 - 25 years) and a positive Fontaine’s sign. All tumours were benign, unilateral (right n = 4, left n = 3) and ranging in size from 3 × 3 cm to 6.4 × 3.2 cm. Beside US neck exam, carotid angiography was done in 5 patients. According to Shamblin classification, 4 were class II, 2 class I and 1 class III. All tumours were successfully resected with preservation of ICA. However, the ECA was safely ligated twice due to severe involvement. Tongue deviation occurred once (14.3%) but no patient died and none had stroke or recurrence. Conclusions: Our results of surgery for CBT compare very well with the international standards.
基金This study was supported by Research Fund of the Ministry of PublicHealth ( No. 96-1-340 ) and Sustentation Plan for ExcellentAcademic Leader of Shanghai Municipality (No.96XD14013)
文摘Carotid body tumor （CBT） is a rare tumor, which is composed of chromaffin cells, groupsof cells associated with the autonomous system, occurring at the carotid bifurcation. This tumor grows slowly, usually with a history of several years and seldom undergoes malignant transformation. The majority of CBT are benign, only few cases of malignant CBTs were reported in the literature. 1.3 Overa period of 10 years （1993-2004）, 28 patients with CBT were diagnosed and surgically treated in the Department of Oral and Maxillofacial Surgery,
文摘Paragangliomas are extra‑adrenal neuroendocrine tumors that derive from neural crest.In general,they are benign tumors but few cases had shown a tendency to metastasize.Malignant forms have been reported previously with intracranial metastasis from duodenal origin,but primary intracranial origin represents a rare and unusual location for such tumors.Here,we report a rare case of a 48‑year‑old lady who presented with symptomatic right‑sided insular mass with negative metastatic work up.A complete surgical resection had been done with an unexpected diagnosis of primary gangliocytic paraganglioma with malignant features.
