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Glomustumoren der Kopf-Hals-Region

Glomus tumors of the head and neck

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Zusammenfassung

Glomustumoren der Kopf-Hals-Region sind seltene Tumoren des Erwachsenenalters, die von paraganglionären Zellen oder Glomuszellen des Glomus caroticum, N. vagus, Mittelohres oder Foramen jugulare ausgehen. Die Diagnostik dieser meist gutartigen Geschwülste erfolgt bevorzugt mittels CT und MRT, wobei die DSA wichtige Zusatzinformationen liefern kann. Eine Therapieoption stellt neben der Chirurgie die radiologische Intervention mit Embolisation der tumorversorgenden Gefäße dar. Aufgrund der Bildgebung und des häufig anzutreffenden „Salz-und-Pfeffer-Musters“ in der MRT können Glomustumoren von anderen Raumforderungen im Kopf-Hals-Bereich differenziert werden. Die Arbeit gibt einen Überblick über die Einteilung, Diagnostik und Therapie der Paragangliome. Anhand von Bildern werden charakteristische Befunde demonstriert.

Abstract

Glomus tumors of the head and neck are rare tumors of adulthood which arise from paraganglia or glomus cells within the carotid glomus, vagus nerve, middle ear or jugular foramen. The diagnosis of these mostly benign lesions is predominantly done with CT and MRI. DSA can provide important additional information. Besides surgical resection, one therapy option is radiological intervention with tumor embolisation. Because of the typical radiological imaging and the “salt and pepper appearance” in MRI, glomus tumors can be differentiated from other lesions in the head and neck. This review gives a survey of the classification, diagnosis and therapy of paragangliomas with images to demonstrate characteristic features.

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  1. Abteilung für Neuroradiologie der Universitätskliniken des Saarlandes, Homburg

    C. Axmann, U. Dorenbeck & W. Reith

  2. Abt. f. Neuroradiologie der Universitätskliniken des Saarlandes, 66421 , Homburg

    C. Axmann

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  1. C. Axmann
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  2. U. Dorenbeck
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  3. W. Reith
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Correspondence to C. Axmann.

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Axmann, C., Dorenbeck, U. & Reith, W. Glomustumoren der Kopf-Hals-Region. Radiologe 44, 389–400 (2004). https://doi.org/10.1007/s00117-004-1038-4

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  • DOI: https://doi.org/10.1007/s00117-004-1038-4

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