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Carotid Body Tumor: Our Experience with 42 Patients and a Literature Review

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To review characteristics, signs, diagnostic methods, and surgical complications in patients with carotid body tumor, in addition to a literature review. This was a cross-sectional study carried out on 42 patients with carotid body tumors referred to Al-Zahra hospital of Isfahan from January 1, 2016, to December 31, 2019. The studied characteristics included age at the onset of symptoms, gender, symptoms, duration of symptomatic status before diagnosis, diagnostic methods, pathological outcome, tumor stage, and surgical complications. The collected data were analyzed using SPSS 21. In this study, 34 patients (80.96%) were female. The mean age at the onset of symptoms was 54.41 years. The mean duration of symptoms before diagnosis was 12.55 months. There was no significant difference between genders for the age and duration of symptoms before diagnosis (p > 0.05). Symptoms were mainly painless mass, hoarseness, coughing, earache, tinnitus, and headache. After surgery, two cases of permanent cranial nerve injuries were found. Thirty-nine patients (93%) were diagnosed by ultrasound imaging and CT scan. We had one case of arterial repair. There was one malignant and one functional tumor. According to the results, carotid body tumor is more common in females especially on the right side. Bilateral tumors are prevalent in females. This mass should be removed by surgery at the time of diagnosis in cases where the patient is not at high risk for surgery due to comorbidities, and the risk of complications following surgery is low.

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Data Availability

Dataset and analysis is available through the corresponding author.

Code Availability

SPSS 21.

References

  1. Chow WB, Moore WS, Lamuraglia GM (2019) Carotid body tumors. In: Sidawy NA, Perler BA (eds) Rutherford`s vascular surgery and endovascular therapy, 9th edn. Elsevier, Philadelphia, pp p1255-1264

    Google Scholar 

  2. Lin PH, Bechara CF, Chen C, Veith FJ (2019) Arterial disease. In: Brunicardi FC (ed) Schwartz’s principles of surgery, 11th edn. Mc Graw Hill education, New York, pp P918-919

    Google Scholar 

  3. Dua A, Spees TC, Hernandez FC, Igbadumhe AA, Algodi M, Desai SS (2014) Trends in the incidence of carotid body tumors in the United States from 1998 to 2011. Vasc Dis Manag 11(12):E298-302

    Google Scholar 

  4. Dixon JL, Atkins MD, Bohannon WT, Buckley CJ, Lairmore TC (2016) Surgical management of carotid body tumors: a 15-year single institution experience employing an interdisciplinary approach. Proc (BaylUniv Med Cent) 29(1):16–20. https://doi.org/10.1080/08998280.2016.11929343

    Article  Google Scholar 

  5. Bobadilla-Rosado LO, Garcia-Alva R, Anaya-Ayala JE, Peralta-Vazquez C, Hernandez-Sotelo K, Luna L et al (2019) Surgical management of bilateral carotid body tumors. Ann VascSurg 57:187–193. https://doi.org/10.1016/j.avsg.2018.10.019

    Article  Google Scholar 

  6. Davila VJ, Chang JM, Stone WM, Fowl RJ, Bower TC, Hinni ML et al (2016) Current surgical management of carotid body tumors. J VascSurg 64(6):1703–1710. https://doi.org/10.1016/j.jvs.2016.05.076

    Article  Google Scholar 

  7. Lee KY, Oh YW, Noh HJ, Lee YJ, Yong HS, Kang EY et al (2006) Extraadrenalparagangliomas of the body: imaging features. AJR Am J Roentgenol 187(2):492–504. https://doi.org/10.2214/AJR.05.0370

    Article  PubMed  Google Scholar 

  8. Sen I, Stephen E, Malepathi K, Agarwal S, Shyamkumar NK, Mammen S (2013) Neurological complications in carotid body tumors: a 6-year single-center experience. J VascSurg 57(2):64S-S68. https://doi.org/10.1016/j.jvs.2012.06.114

    Article  Google Scholar 

  9. Day TA, Bewley AF, Joet JK (2015) Neoplasms of the neck. In: Flint PW, Haughey BH, Lund V, Niparko JK, Thomas Robbins K, Regan Thomas J et al (eds) Cummings otolaryngology: head and neck surgery, vol 2, 6th edn. Elsevier, Philadelphia, p p1790

    Google Scholar 

  10. Koskas F, Vignes S, Khalil I, Koskas I, Dziekiewicz M, Elmkies F et al (2009) Carotid chemodectomas: long-term results of subadventitial resection with deliberate external carotid resection. Ann VascSurg 23(1):67–75. https://doi.org/10.1016/j.avsg.2008.01.015

    Article  Google Scholar 

  11. O’Neill S, O’Donnell M, Harkin D, Loughrey M, Lee B, Blair P (2011) A 22-year Northern Irish experience of carotid body tumours. Ulster Med J 80(3):133–140

    PubMed  PubMed Central  Google Scholar 

  12. Sajid MS, Hamilton G, Baker DM, Joint Vascular Research Group (2007) A multicenter review of carotid body tumour management. Eur J VascEndovascSurg 34(2):127–30. https://doi.org/10.1016/j.ejvs.2007.01.015

    Article  CAS  Google Scholar 

  13. Arya S, Rao V, Juvekar S, Dcruz AK (2008) Carotid body tumors: objective criteria to predict the Shamblin group on MR imaging. AJNR Am J Neuroradiol 29(7):1349–1354. https://doi.org/10.3174/ajnr.A1092

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Torrealba JI, Valdes F, Kramor AH, Metens R, Bergoeing M, Mariné L (2016) Management of carotid bifurcation tumors: 30 year experience. Ann VascSurg 34:200–5. https://doi.org/10.1016/j.avsg.2015.12.029

    Article  Google Scholar 

  15. Economopoulos KP, Tzani A, Reifsnyder T (2015) Adjunct endovascular interventions in carotid body tumors. J VascSurg 61(4):1081–91.e2. https://doi.org/10.1016/j.jvs.2015.01.035

    Article  Google Scholar 

  16. Kotelis D, Rizos T, Geisbusch P, Attigah N, Ringleb P, Hache W et al (2009) Late outcome after surgical management of carotid body tumor from a 20 year experience. Langenbecks Arch Surg 394(2):339–44. https://doi.org/10.1007/s00423-008-0378-3

    Article  PubMed  Google Scholar 

  17. Jackson RS, Myhill JA, Padhya TA, McCaffrey JC, McCaffrey TV, Mhaskar RS (2015) The Effects of preoperative embolization on carotid body paraganglioma surgery: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 153(6):943–950. https://doi.org/10.1177/0194599815605323

    Article  PubMed  Google Scholar 

  18. Abu-Ghanem S, Yehuda M, Carmel NN, Abergel A, Fliss DM (2016) Impact of preoperative embolization on the outcomes of carotid body tumor surgery: a meta-analysis and review of the literature. Head Neck 38(Suppl 1):E2386–E2394. https://doi.org/10.1002/hed.24381

    Article  PubMed  Google Scholar 

  19. Ng DW, Yam CI, Wong LT, Koh DL (2017) An anaesthesia perspective on carotid body tumour (CBT) excision: a twenty-year case series at the Singapore General Hospital. J PerioperPract 27(10):228–233. https://doi.org/10.1177/175045891702701005

    Article  Google Scholar 

  20. Lamblin E, Atallah I, Reyt E, Schmerber S, Magne JL, Righini CA (2016) Neurovascular complications following carotid body paraganglioma resection. Eur Ann Otorhinolaryngol Head Neck Dis 133(5):319–324. https://doi.org/10.1016/j.anorl.2016.05.006

    Article  CAS  PubMed  Google Scholar 

  21. Ortiz KL, Ortiz MR, Valencia VV, Gomez AH (2006) Does Shamblin’s classification predict postoperative morbidity in carotid body tumors? A proposal to modify Shamblin’s classification. Eur Arch Otorhinolaryngol 263(2):171–175. https://doi.org/10.1007/s00405-005-0968-4

    Article  Google Scholar 

  22. Naeimi M, Mokhtari N, Naghibzadeh M, Ravari H, Afshar A (2006) Carotid paraganglioma treatment, a review of 15 years of experience. Iranian J Otorhinolaryngol 18(4):163–167

    Google Scholar 

  23. Gharibvand MM, Bahadoram M, Dorestan N, Majdi Z, Alaei S, Davoodi M (2018) Evaluation of gray-scale and color Doppler sonography accuracy in discrimination between benign and malignant adnexal tumors. ImmunopatholPersa 4(2):e16. https://doi.org/10.15171/ipp.2018.e16

    Article  Google Scholar 

  24. Darouassi Y, Alaoui M, MlihaTouati M, Al Maghraoui O, En-Nouali A, Bouaity B et al (2017) Carotid body tumors: a case series and review of the literature. Ann VascSurg 43:265–271. https://doi.org/10.1016/j.avsg.2017.03.167

    Article  Google Scholar 

  25. Hua Q, Xu Z, Jiang Y (2017) Diagnosis and surgical treatment of carotid body tumor: a retrospective analysis of 58 patients. OncolLett 14(3):3628–3632. https://doi.org/10.3892/ol.2017.6582

    Article  Google Scholar 

  26. Kim GY, Lawrence PF, Moridzadeh RS, Zimmerman K, Munoz A, Luna-Ortiz K et al (2017) New predictors of complications in carotid body tumor resection. J VascSurg 65(6):1673–1679. https://doi.org/10.1016/j.jvs.2016.12.124

    Article  Google Scholar 

  27. Lim JY, Kim J, Kim SH, Lee S, Lim YC, Kim JW et al (2010) Surgical treatment of carotid body paragangliomas: outcomes and complications according to the shamblin classification. ClinExpOtorhinolaryngol 3(2):91–95. https://doi.org/10.3342/ceo.2010.3.2.91

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank the Vice Chancellor for Research of the Isfahan University of Medical Science, Medical Records Center of AL-Zahra Hospital of Isfahan, and participated patients for their cooperation.

Funding

This work was funded by Isfahan University of Medical Sciences.

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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by RC and AS. The first draft of the manuscript was written by RC and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Rojin Chegini.

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Sarookhani, A., Chegini, R. Carotid Body Tumor: Our Experience with 42 Patients and a Literature Review. Indian J Otolaryngol Head Neck Surg 74, 279–286 (2022). https://doi.org/10.1007/s12070-021-02453-8

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  • DOI: https://doi.org/10.1007/s12070-021-02453-8

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