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Epidemiology and Genetics and Pattern of Spread

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Tumors of the Jugular Foramen

Abstract

According to the World Health Organization paragangliomas are classified as neuroendocrine tumors. Head and neck paragangliomas comprise 0.3 % of all paragangliomas and 60 % are carotid body tumors. Jugulotympanic paragangliomas present an estimated annual incidence of 1 case per 1.3 million people. Jugular foramen schwannomas constitute approximately 2.9–4 % of all intracranial schwannomas and primary meningiomas of the jugular foramen are extremely rare. The genetic basis of development of paragangliomas, schwannomas, meningiomas, chordomas, and chondrosarcomas and mutation of different genes has been described. Familial forms of paragangliomas present multicentric tumors in almost 80 % of the cases. Transmission of paragangliomas is by an autosomal dominant gene. Schwannomatosis and neurofibromatosis are frequently associated with schwannomas and meningiomas in the jugular foramen. The knowledge of invasion routes of Jugular foramen paragangliomas with involvement of the internal carotid artery, middle ear, neck, and intradural helps to plan surgical approaches and predict the surgical difficulties.

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References

  1. Moffat DA, Hardy DG. Surgical management of large glomus jugulare tumours: infra- and trans-temporal approach. J Laryngol Otol. 1989;103:1167–80.

    Article  CAS  PubMed  Google Scholar 

  2. Brown JS. Glomus jugulare tumors revisited: a ten-year statistical follow-up of 231 cases. Laryngoscope. 1985;95:284–8.

    Article  CAS  PubMed  Google Scholar 

  3. Jackson CG, Harris PF, Glasscock 3rd ME, Fritsch M, Dimitrov E, Johnson GD, Poe DS. Diagnosis and management of paragangliomas of the skull base. Am J Surg. 1990;159:389–93.

    Google Scholar 

  4. Netterville JL, Jackson CG, Miller FR, Wanamaker JR, Glasscock ME. Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg. 1998;124:1133–40.

    Article  CAS  PubMed  Google Scholar 

  5. Schwaber MK, Glasscock ME, Nissen AJ, Jackson CG, Smith PG. Diagnosis and management of catecholamine secreting glomus tumors. Laryngoscope. 1984;94:1008–15.

    Article  CAS  PubMed  Google Scholar 

  6. Baysal BE. On the association of succinate dehydrogenase mutations with hereditary paraganglioma. Trends Endocrinol Metab. 2003;14:453–9.

    Article  CAS  PubMed  Google Scholar 

  7. Eng C, Clayton D, Schuffenecker I, Lenoir G, Cote G, Gagel RF, van Amstel HK, Lips CJ, Nishisho I, Takai SI, Marsh DJ, Robinson BG, Frank-Raue K, Raue F, Xue F, Noll WW, Romei C, Pacini F, Fink M, Niederle B, Zedenius J, Nordenskjöld M, Komminoth P, Hendy GN, Mulligan LM, et al. The relationship between specific RET proto-oncogene mutations and disease phenotype in multiple endocrine neoplasia type 2. International RET mutation consortium analysis. JAMA. 1996;276:1575–9.

    Google Scholar 

  8. Neumann HP, Berger DP, Sigmund G, Blum U, Schmidt D, Parmer RJ, Volk B, Kirste G. Pheochromocytomas, multiple endocrine neoplasia type 2, and von Hippel-Lindau disease. N Engl J Med. 1993;329:1531–8.

    Article  CAS  PubMed  Google Scholar 

  9. Boedeker CC, Neumann HPH, Offergeld C, Maier W, Falcioni M, Berlis A, Schipper J. Clinical features of paraganglioma syndromes. Skull Base. 2009;19:17–25.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Boedeker CC, Neumann HP, Maier W, Bausch B, Schipper J, Ridder GJ. Malignant head and neck paragangliomas in SDHB mutation carriers. Otolaryngol Head Neck Surg. 2007;137:126–9.

    Article  PubMed  Google Scholar 

  11. Timmers HJ, Pacak K, Bertherat J, Lenders JW, Duet M, Eisenhofer G, Stratakis CA, Niccoli-Sire P, Tran BH, Burnichon N, Gimenez-Roqueplo AP. Mutations associated with succinate dehydrogenase D-related malignant paragangliomas. Clin Endocrinol. 2008;68:561–6.

    Article  CAS  Google Scholar 

  12. Lee JH, Barich F, Karnell LH, Robinson RA, Zhen WK, Gantz BJ, Hoffman HT, American College of Surgeons Commission on Cancer, American Cancer Society. National Cancer Data Base report on malignant paragangliomas of the head and neck. Cancer. 2002;94:730–7.

    Article  PubMed  Google Scholar 

  13. Sanna M, Bacciu A, Falcioni M, Taibah A. Surgical management of jugular foramen schwannomas with hearing and facial nerve function preservation: a series of 23 cases and review of the literature. Laryngoscope. 2006;116:2191–204.

    Article  PubMed  Google Scholar 

  14. Ramina R, Maniglia JJ, Fernandes YB, Paschoal JR, Pfeilsticker LN, Neto MC. Tumors of the jugular foramen: diagnosis and management. Neurosurgery. 2005;57:59–68.

    PubMed  Google Scholar 

  15. Tekkök IH, Ozcan OE, Turan E, Onol B. Jugular foramen meningioma. Report of a case and review of the literature. J Neurosurg Sci. 1997;41:283–92.

    PubMed  Google Scholar 

  16. Samii M, Babu RP, Tatagiba M, Sepehrnia A. Surgical treatment of jugular foramen schwannomas. J Neurosurg. 1995;82:924–32.

    Article  CAS  PubMed  Google Scholar 

  17. Yoo H, Jung HW, Yang HJ. Jugular foramen schwannomas: surgical approaches and outcome of treatment. Skull Base Surg. 1999;9:243–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Bakar B. The jugular foramen schwannomas: review of the large surgical series. J Korean Neurosurg Soc. 2008;44:285–94.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Archibald DJ, Neff BA, Voss SG, Splinter PL, Driscoll CL, Link MJ, Dong H, Kwon ED. B7-H1 expression in vestibular schwannomas. Otol Neurotol. 2010;31:991–7.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Cayé-Thomasen P, Borup R, Stangerup SE, Thomsen J, Nielsen FC. Deregulated genes in sporadic vestibular schwannomas. Otol Neurotol. 2010;31:256–66.

    Article  PubMed  Google Scholar 

  21. Fong B, Barkhoudarian G, Pezeshkian P, Parsa AT, Gopen Q, Yang I. The molecular biology and novel treatments of vestibular schwannomas. J Neurosurg. 2011;115:906–14.

    Article  PubMed  Google Scholar 

  22. Hadfield KD, Smith MJ, Urquhart JE, Wallace AJ, Bowers NL, King AT, Rutherford SA, Trump D, Newman WG, Evans DG. Rates of loss of heterozygosity and mitotic recombination in NF2 schwannomas, sporadic vestibular schwannomas and schwannomatosis schwannomas. Oncogene. 2010;29:6216–21.

    Article  CAS  PubMed  Google Scholar 

  23. Lassaletta L, Bello MJ, Del Río L, Alfonso C, Roda JM, Rey JA, Gavilan J. DNA methylation of multiple genes in vestibular schwannoma: relationship with clinical and radiological findings. Otol Neurotol. 2006;27:1180–5.

    Google Scholar 

  24. Neff BA, Welling DB, Akhmametyeva E, Chang LS. The molecular biology of vestibular schwannomas: dissecting the pathogenic process at the molecular level. Otol Neurotol. 2006;27:197–208.

    Article  PubMed  Google Scholar 

  25. Stenman G, Kindblom LG, Johansson M, Angervall L. Clonal chromosome abnormalities and in vitro growth characteristics of classical and cellular schwannomas. Cancer Genet Cytogenet. 1991;57:121–31.

    Article  CAS  PubMed  Google Scholar 

  26. Rousseau G, Noguchi T, Bourdon V, Sobol H, Olschwang S. SMARCB1/INI1 germline mutations contribute to 10% of sporadic schwannomatosis. BMC Neurol. 2011;11:9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Ramina R, Neto MC, Fernandes YB, Aguiar PH, de Meneses MS, Torres LF. Meningiomas of the jugular foramen. Neurosurg Rev. 2006;29:55–60.

    Google Scholar 

  28. Pham MH, Zada G, Mosich GM, Chen TC, Gianotta SL, Wang K, Mack WJ. Molecular genetics of meningiomas: a systematic review of the current literature and potential basis for future treatment paradigms. Neurosurg Focus. 2011;30:E7.

    Article  PubMed  Google Scholar 

  29. Chernov M, DeMonte F. Skull base tumors. In: Levin VA, editor. Cancer in the nervous system. 2nd ed. New York: Oxford University Press; 2002. p. 300–19.

    Google Scholar 

  30. Forsyth PA, Cascino TL, Shaw EG, Scheithauer BW, O'Fallon JR, Dozier JC, Piepgras DG. Intracranial chordomas: a clinicopathological and prognostic study of 51 cases. J Neurosurg. 1993;78:741–7.

    Article  CAS  PubMed  Google Scholar 

  31. Dwivedi RC, Ojha BK, Mishra A, Youssefi P, Thway K, Hassan MS, Agrawal N, Kazi R. A rare case of jugular foramen chordoma with an unusual extension. Arch Otolaryngol Head Neck Surg. 2011;137:513–6.

    Article  PubMed  Google Scholar 

  32. Itoh T, Harada M, Ishikawa T, Shimoyamada K, Katayama N, Tsukune Y. A case of jugular foramen chordoma with extension to the neck: CT and MR findings. Radiat Med. 2000;18:63–5.

    CAS  PubMed  Google Scholar 

  33. Rosenberg AE. Pathology of chordoma and chondrosarcoma of the axial skeleton. In: Harsh GD, Janecka IP, Mankin HJ, Ojemann RG, Suit H, editors. Chondromas and chondrosarcomas of the skull base and spine. New York: Thieme Medical Publishers; 2003. p. 8–15. ISBN 9783131247711.

    Google Scholar 

  34. Pillay N, Plagnol V, Tarpey PS, Lobo SB, Presneau N, Szuhai K, Halai D, Berisha F, Cannon SR, Mead S, Kasperaviciute D, Palmen J, Talmud PJ, Kindblom LG, Amary MF, Tirabosco R, Flanagan AM. A common single-nucleotide variant in T is strongly associated with chrordoma. Nat Genet. 2012;44:1185–7.

    Article  CAS  PubMed  Google Scholar 

  35. Bhadra AK, Casey AT. Familial Chordoma. A report of two cases. J Bone Joint Surg. 2006;88:634–6.

    Article  CAS  Google Scholar 

  36. Fletcher CDM, Unni KK, Mertens F, editors. World Health Organization classification of tumors: pathology and genetics of tumors of soft tissue and bone. Lyon: IARC Press; 2002.

    Google Scholar 

  37. Korten AG, ter Berg HJ, Spincemaille GH, van der Laan RT, Van de Wel AM. Intracranial chondrosarcoma: review of the literature and report of 15 cases. J Neurol Neurosurg Psychiatry. 1998;65:88–92.

    Google Scholar 

  38. Evans HL, Ayala AG, Romsdahl MM. Prognostic factors in chondrosarcoma of bone: a clinicopathologic analysis with emphasis on histologic grading. Cancer. 1977;40:818–31.

    Article  CAS  PubMed  Google Scholar 

  39. Sanna M, Bacciu M, Pasanisi E, Piazza P, Fois P, Falcioni M. Chondrosarcomas of the jugular foramen. Laryngoscope. 2008;118:1719–28.

    Article  PubMed  Google Scholar 

  40. Rapidis AD, Archondakis G, Anteriotis D, Skouteris CA. Chondrosarcomas of the skull base: review of the literature and report of two cases. J Craniomaxillofac Surg. 1997;25:322–7.

    Article  CAS  PubMed  Google Scholar 

  41. Hassounah M, Al-Mefty O, Akhtar M, Jinkins JR, Fox JL. Primary cranial and intracranial chondrosarcoma: a survey. Acta Neurochir. 1985;78:123–32.

    Article  CAS  PubMed  Google Scholar 

  42. Barnes L, Kapadia SB. The biology and pathology of selected skull base tumors. J Neurooncol. 1994;20:213–40.

    Article  CAS  PubMed  Google Scholar 

  43. Stapleton SR, Wilkins PR, Archer DJ, Uttley D. Chondrosarcoma of the skull base: a series of eight cases. Neurosurgery. 1993;32:348–56.

    Article  CAS  PubMed  Google Scholar 

  44. Kanamori H, Kitamura Y, Kimura T, Yoshida K, Sasaki H. Genetic characterization of skull base chondrosarcomas. J Neurosurg. 2015;123:1036–41.

    Article  PubMed  Google Scholar 

  45. Diaz RC, Amjad EH, Sargent EW, Larouere MJ, Shaia WT. Tumors and pseudotumors of the endolymphatic sac. Skull Base. 2007;17:379–93.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Hansen MR, Luxford WM. Surgical outcomes in patients with endolymphatic sac tumors. Laryngoscope. 2004;114:1470–4.

    Article  PubMed  Google Scholar 

  47. Kempermann G, Neumann HP, Volk B. Endolymphatic sac tumours. Histopathology. 1998;33:2–10.

    Article  CAS  PubMed  Google Scholar 

  48. Minor LB. Controversies in the management of glomus tumors of the temporal bone. Oper Tech Otolaryngol Head Neck Surg. 1994;5:189–202.

    Article  Google Scholar 

  49. Jackson CG, Cueva RA, Thedinger BA, Glasscock 3rd ME. Conservation surgery for glomus jugulare tumors: the value of early diagnosis. Laryngoscope. 1990;100:1031–6.

    Google Scholar 

  50. Spector GJ, Druck NS, Gapo M. Neurologic manifestations of glomus tumors in the head and neck. Arch Neurol. 1976;33:270–4.

    Article  CAS  PubMed  Google Scholar 

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Ramina, R., Tatagiba, M.S. (2017). Epidemiology and Genetics and Pattern of Spread. In: Tumors of the Jugular Foramen. Springer, Cham. https://doi.org/10.1007/978-3-319-43368-4_3

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  • DOI: https://doi.org/10.1007/978-3-319-43368-4_3

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