Mehmet EKEN, Arif ŞANLI, Sedat AYDIN, H. Mustafa PAKSOY, Mehmet YILDIRIM

Karotis cismi tümörü: Olgu sunumu

Otuz befl yaflında kadın hasta yavafl büyüyen asemptomatik kitle ile baflvurdu. Kitle, sağ tonsilla palatinayı itmekte ve orofarenjeal bölgede pulsas- yon göstermekteydi. Manyetik rezonans inceleme- sinde, kitlenin karotis bifurkasyonunda eksternal ve internal karotis arterlerde yer değiflikliğine yol açtığı izlendi. Karotis cismi tümörü tanısı manyetik rezo- nans anjiyografi ile desteklendi. Cerrahi tedavi ola- rak, karotis bifurkasyonunda hipoglossus ve vagus korunarak subadventisyal diseksiyon yapıldı. Ameli- yat sonrası dönemde hastada 10. kranyal sinir felci olufltu. Bir yıllık izlem sonunda hastanın sinir felcin- de değifliklik olmadı

Anahtar Kelimeler:

Karotis arterleri/patoloji/radyografi, karotis cismi/patoloji, karotis cismi tümörü/tan›/patoloji/cerrahi, bafl-boyun neoplazileri, paragangliom/cerrahi.

A case of carotid body tumor

A thirty-five-year-old woman had an asymptomatic, slow growing mass that pushed the right tonsilla palati- na and was pulsatile in the oropharyngeal region.Magnetic resonance imaging showed a vascular mass at the carotid bifurcation, causing displacement of the external and internal carotid arteries. The diagnosis of a carotid body tumor was confirmed by magnetic res onance angiography. Surgery included a subadventi- tial dissection at the carotid bifurcation, preserving the hypoglossal and vagal nerves. The patient developed loss of function of the tenth cranial nerve postopera- tively. After a year follow-up period there was no change in the function of the tenth cranial nerve.

Keywords:

Carotid arteries/pathology/radiography, carotid body/pathology, carotid body tumor/diagnosis/pathology/ surgery, head and neck neoplasms, paraganglioma/surgery,

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