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Year : 2019  |  Volume : 4  |  Issue : 2  |  Page : 32-34

An aneurysm-like entity inside a giant carotid body tumor reaching lateral skull base

1 Department of Vascular Surgery, Peking Union Medical College Hospital; School of Medicine, Tsinghua University, Beijing, China
2 Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China

Correspondence Address:
Yuehong Zheng
Department of Vascular Surgery, Peking Union Medical College Hospital, Shuaifuyuan #1, Dongcheng, Beijing 100730
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ts.ts_10_19

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The successful resection of giant carotid body tumors (CBTs) with full protection of cranial nerve is challenging. Meanwhile, entities with fresh blood inside a CBT were commonly considered liquefactive necrosis preoperatively. However, we reported a case with an aneurysm-like entity inside the CBT instead. A patient with lump on the right neck complained of feeling dizzy. She was then reported with a giant CBT reaching lateral skull base. Preoperative imaging revealed a low-density entity inside the tumor, which was considered as liquefaction necrosis. However, during surgery, the low-density area was observed pulsing with fresh blood. Under the collaboration of vascular surgeons and otolaryngologists, the tumor was resected uneventfully. We reported a case of giant CBT over 10 cm and successful resection with no major facial nerve deficit. Moreover, an aneurysm-like entity inside the tumor was observed during the surgery, which was not reported before.

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