Article Sidebar

PDF
Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 1321
Views PDF: 4855
DOI: https://doi.org/10.47972/vjcts.v17i.124
Issue
Vol. 17
Section
Research Article
How to Cite
Hung, D. Q. ., Canh, P. T. ., & Khanh, C. V. . (2020). Chẩn đoán và điều trị u cuộn cảnh vùng đầu cổ. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 17, 33-38. https://doi.org/10.47972/vjcts.v17i.124

Chẩn đoán và điều trị u cuộn cảnh vùng đầu cổ

Doan Quoc Hung, Pham Tuan Canh, Chu Van Khanh

Main Article Content

Abstract

Glomus tumors (paragangliomas) of the head and neck are rare, slowly progressive, rich in blood vessels, tumors in the group of access nodes (paragangliomas), can appear in many different positions. Research on clinical diagnosis, medical imaging comparing with surgical lesions in order to withdraw experience to diagnose and treat this rare pathology. Study subjects included 23 patients (24 tumors) with glomus tumors, surgical treatment at Cardiovascular surgery-Viet Duc Hospital, ENT Central Hospital, Hanoi Medical University Hospital from january 2008 to september 2016. The definitive diagnosis is based on clinical, paraclinical and confirmed by pathology results. In 24 tumors with 17 carotid body tumors, 2 glomus vagales and 5 glomus tympanicums . All cases were surgically excised, including 2 cases of re-establishing circulation of the internal carotid artery, 2 cases of external carotid artery ligation and 4 cases of nerve ligation clip. Conclusion: Glomus tumors of the head and neck are rare, definitive diagnosis relies on diagnostic imaging. Treatment is total tumorectomy, in addition to consideration of other therapies such as radiation therapy, gamma knife surgery in order to select the most appropriate solutions for each specific case.7

Article Details

References

1. Pellitteri P.K., Rinaldo A., Myssiorek D. et al (2004), Paragangliomas of the head and neck, Oral oncology, Vol 40, pp. 563-567.
2. Luna-Ortiz K., Rascon-Ortiz M., Villavicencio-Valencia V. et al (2005), Carotid body tumors: review of a 20-year experience, Oral Oncol, Vol 41(1), pp. 56-61.
3. Maison Casarim A.L., Tincani A.J., Negro A.D. et al (2014), Carotid body tumor: Retrospective analysis on 22 patients, Sao Paulo Med J, Vol 132(3), pp. 133-9.
4. Đoàn Quốc Hưng (2015), U tiểu thể cảnh: Một số kinh nghiệm trong chẩn đoán và điều trị. Tạp chí Tai mũi họng, 6: 51-60.
5. Đoàn Quốc Hưng, Nguyễn Duy Thắng, Lê Thanh Dũng, Mai Thanh Tú (2011), U tiểu thể cảnh: chẩn đoán và điều trị tại bệnh viện Hữu nghị Việt Đức, Tạp chí tim mạch học Việt Nam, Vol 59, pp. 46-53.
6. Shedd D.P. (1990), Familial occurrence of carotid body tumors, Head and Neck, 12(6).
7. Durdik S., Malinovsky P., Durdik S. P Malinovsky (2002), Chemodectoma-carotid body tumor surgical treatment, pp. 422-423.
8. Chao C., Perez C., Brady L. (2011), Unusual tumors of the head and neck. Radiation oncology management decisions, 3rd edition. Philadelphia, Lippincott, pp. 299-302.
9. Rodriguez-Cuevas H., Lau I., Rodriguez H.P. (1986), High-altitude paragangliomas: diagnostic and therapeutic considerations, Cancer, Vol 57(3), pp. 672-6.
10.Urquhart A.C., Johnson J.T., Myers E.N., (1994), Glomus vagale: paraganglioma of the vagus nerve, Laryngoscope, vol 104, pp. 440-445.
11.Gattuso, Reddy, David (2002), Defferential Diagnosis in Surgical Pathology 2nd, Sunder Elsevier. Gombos Z., Zhang P.J. (September 2008), Glomus tumor, Archives of pathology & laboratory medicine, Vol 132 (9), pp. 1448–52.