A Case of a Huge Left Common Carotid Artery Paraganglioma Resected With the Left Thyroid Gland

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-03-12 DOI:10.1002/hed.28108

Jiaxi Pu, Shaofei Yang, Minhao Lu, Bin Zhao

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Abstract

Background

Paraganglioma (PGL) is a rare neuroendocrine tumor. In the head and neck region, surgical resection of PGL is extremely difficult due to its proximity to many vital blood vessels, nerves, and organs. There is still some controversy about whether preoperative embolization is salutary.

Methods

We present a case of a giant left common carotid artery PGL with nodular goiter, which needs surgical resection combined with interventional and endovascular treatments.

Results

The patient recovered well after the operation without vascular and nerve injury complications. His chest tightness and dysphagia also resolved after the surgery.

Conclusions

This case highlights the importance and effectiveness of interventional and endovascular treatments in complex head and neck PGL (HNPGL), particularly in cases involving important blood vessels and organs.

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巨大左侧颈总副神经节瘤伴左侧甲状腺切除1例。

背景：副神经节瘤（PGL）是一种罕见的神经内分泌肿瘤。在头颈部，由于其靠近许多重要血管、神经和器官，手术切除PGL非常困难。术前栓塞是否有益仍有争议。方法：我们报告一例巨大的左侧颈总动脉PGL合并结节性甲状腺肿，需要手术切除并介入和血管内治疗。结果：患者术后恢复良好，无血管和神经损伤并发症。手术后，他的胸闷和吞咽困难也消失了。结论：本病例强调了介入和血管内治疗复杂头颈部PGL （HNPGL）的重要性和有效性，特别是在涉及重要血管和器官的病例中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.