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Donnish Journal of Medicine and Medical Sciences

February 2015 Vol. 2(1), pp. 001-004

Copyright 2015 Donnish Journals




Case Report


Metastatic Malignant Bilateral Carotid Body Tumour: Case Report


Abdulsalam Y. Taha

Department of Cardiothoracic and Vascular Surgery, School of Medicine, University of Sulaimaniyah and Sulaimaniyah Teaching Hospital, Sulaimaniyah, Region of Kurdistan, Iraq.

Corresponding Author E-mail: salamyt_1963@hotmail.com

Accepted 10th January, 2015.



Abstract


An Iraqi male, 45 years old presented with a painless left neck swelling (of more than 8 years duration). He had undergone a previous inconclusive incisional biopsy several years earlier. Physical examination revealed a pulsatile swelling below the angle of the mandible freely moveable horizontally, but not vertically (positive Fontaine Sign) with an audible systolic bruit. Workup revealed bilateral carotid body tumours (CBT); the largest was left-sided Shamblin class III (5.1 x 3.8 cm) whereas the smallest was right-sided Shamblin class I (1.6 x 1.4 cm) tumour with solitary soft-tissue masses in the liver, right suprarenal gland and left paravertebral gutter (suspected metastases or synchronous paragangliomas). The patient refused a therapeutic plan of surgery for the left CBT, observation and/or radiotherapy for other lesions. CBT is the commonest head and neck paraganglioma (HNP). Most cases are sporadic and benign. The sporadic tumours are mostly unilateral. Malignant bilateral tumours are very rare. While surgery is the best treatment for the unilateral form, treatment of bilateral CBT is debatable. Excision of the largest tumou r first and subsequent individualized management of the remaining tumour (observation, radiotherapy or surgery) is widely recommended.

Keywords: Bilateral, malignant, paraganglioma, carotid body tumour, metastasis, chemodectoma, pheochromocytoma.

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Cite This Article:

Abdulsalam Y. Taha. Metastatic Malignant Bilateral Carotid Body Tumour: Case Report. Donnish Journal of Medicine and Medical Sciences 2(1) 2015 pp. 001-004.


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