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A role for ipsilateral, selective neck dissection in carotid body tumours

Published online by Cambridge University Press:  08 March 2017

R P Morton ,
T Stewart ,
M S Dray  and
W Farmilo
R P Morton*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties-Manukau District Health Board, Auckland, New Zealand
T Stewart
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Counties-Manukau District Health Board, Auckland, New Zealand
M S Dray
Affiliation:
Department of Pathology, Counties-Manukau District Health Board, Auckland, New Zealand
W Farmilo
Affiliation:
Department of Surgery, Counties-Manukau District Health Board, Auckland, New Zealand
*
Address for correspondence: Dr Randall P Morton, Department of Otolaryngology-Head and Neck Surgery, Counties-Manukau District Health Board, PO Box 98743, SAMC, Manukau City, Auckland, New Zealand. E-mail: RPMorton@middlemore.co.nz
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Abstract

Introduction:

A reliable diagnosis of malignant carotid body tumour can only be made in the presence of metastatic disease, because the histological features of the primary tumour do not correlate with clinical behaviour.

Case report:

We report two cases of malignant carotid body tumour in which regional nodal biopsy at the time of excision of the primary tumour revealed unsuspected metastatic disease.

Discussion:

Reoperation in the neck for recurrent metastatic carotid body tumour is difficult and potentially hazardous. The presence of occult metastatic disease is easily identified if a selective – or sentinel – nodal dissection is performed routinely in cases of carotid body tumour excision. Such an approach adds very little morbidity, effort or time to the primary surgery, and is recommended. This view has been supported by some other authors but is generally overlooked in clinical practice.

Keywords

ParagangliomaCarotid Body TumorMalignancyLymph Node Excision

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 934 - 936
Copyright
Copyright © JLO (1984) Limited 2009

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