Challenges of Surgical Resection of Carotid Body Tumors - Multiple Feeding Arteries and Preoperative Embolization.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 13 11 2021
revised: 08 12 2021
accepted: 09 12 2021
entrez: 30 1 2022
pubmed: 31 1 2022
medline: 8 2 2022
Statut: ppublish

Résumé

Carotid body tumor is a hypervascular tumor with multiple feeding arteries and unique orientation at the carotid bifurcation. Although resection is a radical therapy for this tumor, complete resection is challenging. Articles reporting carotid body tumor treatment and surgical resection were reviewed including case-control series and review articles. Selected reports were reviewed and discussed focusing on choice of treatment, surgical difficulties and preoperative embolization of feeding arteries. Multiple feeding arteries and adhesion of the tumor to the carotid arterial wall are causes of difficulties in carotid body tumor resection. The effectiveness of preoperative embolization remains controversial due to the varied situations in performing surgical resection among the institutions. However, perfect embolization and resection immediately after embolization reduce blood loss and operative time of surgery for carotid body tumor.

Sections du résumé

BACKGROUND BACKGROUND
Carotid body tumor is a hypervascular tumor with multiple feeding arteries and unique orientation at the carotid bifurcation. Although resection is a radical therapy for this tumor, complete resection is challenging.
MATERIALS AND METHODS METHODS
Articles reporting carotid body tumor treatment and surgical resection were reviewed including case-control series and review articles.
RESULTS RESULTS
Selected reports were reviewed and discussed focusing on choice of treatment, surgical difficulties and preoperative embolization of feeding arteries.
CONCLUSION CONCLUSIONS
Multiple feeding arteries and adhesion of the tumor to the carotid arterial wall are causes of difficulties in carotid body tumor resection. The effectiveness of preoperative embolization remains controversial due to the varied situations in performing surgical resection among the institutions. However, perfect embolization and resection immediately after embolization reduce blood loss and operative time of surgery for carotid body tumor.

Identifiants

pubmed: 35093862
pii: 42/2/645
doi: 10.21873/anticanres.15522
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

645-652

Informations de copyright

Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Kiyoto Shiga (K)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan; kshiga@iwate-med.ac.jp.

Katsunori Katagiri (K)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Aya Ikeda (A)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Daisuke Saito (D)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Shin-Ichi Oikawa (SI)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Kodai Tsuchida (K)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Jun Miyaguchi (J)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Takahiro Kusaka (T)

Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Yahaba, Japan.

Akio Tamura (A)

Department of Radiology, Iwate Medical University School of Medicine, Yahaba, Japan.

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Classifications MeSH