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Paragangliomas of the Neck
G. Blame Bishop, Jr, MD;
Marshall M. Urist, MD;
Taher El Gammal, MD;
Glenn E. Peters, MD;
William A. Maddox, MD
Arch Surg. 1992;127(12):1441-1445.
Abstract
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• Between 1967 and 1990 inclusive, 28 patients with paragangliomas of the neck were diagnosed at the University of Alabama at Birmingham Affiliated Hospitals. There were 11 men and 17 women, whose ages ranged from 12 to 76 years (mean, 47 years). Tumor locations included the carotid bodies (19 cases), the vagus nerves (three), supraglottic larynx (two), the left lateral pharyngeal wall (one), posterior to the right jugular vein (not otherwise defined) (one), subcutaneous neck tissue (one), and a cervical lymph node with unknown primary (one). Diagnostic workup included angiography (23 cases) with preoperative embolization (three), computed tomography (one), magnetic resonance imaging (two), and urinary catecholamine assay (four). All 28 patients underwent resection of the lesions. Cranial nerve damage occurred in 11 patients (39%). There were no perioperative deaths or cerebrovascular accidents, although one of two saphenous vein grafts became thrombotic after carotid body tumor resection.
(Arch Surg. 1992;127:1441-1445)
Author Affiliations
From the Section of Surgical Oncology (Drs Bishop, Urist, and Maddox) and Division of Otorhinolaryngology (Dr Peters), Department of Surgery; and Division of Neuroradiology, Department of Radiology (Dr EI Gammal), University of Alabama at Birmingham.
Footnotes
Accepted for publication March 21, 1992.
Reprint requests to Section of Surgical Oncology, Department of Surgery, University of Alabama at Birmingham, 619 S 19th St, Birmingham, AL 35294 (Dr Bishop).
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