Carotid Body Tumour: The Second Case Series from Baghdad, Iraq - International Journal of Clinical Medicine

IJCM > Vol.6 No.3, March 2015

Carotid Body Tumour: The Second Case Series from Baghdad, Iraq ()

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DOI: 10.4236/ijcm.2015.63019 3,845 Downloads 4,963 Views Citations

Author(s)

Waleed M. Hussen¹, Abdulsalam Y. Taha^2*, Diar S. Hama-Kareem³

Affiliation(s)

¹Department of Cardiothoracic and Vascular Surgery, College of Medicine, University of Baghdad and Baghdad Medical City Teaching Hospital, Baghdad, Iraq.
²Department of Cardiothoracic and Vascular Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimaniyah and Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq.
³Ibn Al-Betar Center for Cardiac Surgery, Baghdad, Iraq.

ABSTRACT

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.

KEYWORDS

Carotid Body Tumour, Paraganglioma, Chemodectoma, Stroke, Cranial Nerve Deficits

Share and Cite:

Hussen, W. , Taha, A. and Hama-Kareem, D. (2015) Carotid Body Tumour: The Second Case Series from Baghdad, Iraq. International Journal of Clinical Medicine, 6, 144-153. doi: 10.4236/ijcm.2015.63019.

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