Cargando…
Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series
BACKGROUND: Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. CASE REPORT: The first case highlights the management of a bilateral chemodectoma, the second case is a pres...
Autores principales: | , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803909/ https://www.ncbi.nlm.nih.gov/pubmed/20062689 http://dx.doi.org/10.1186/1757-1626-2-9112 |
_version_ | 1782176100625940480 |
---|---|
author | Colleran, Gabrielle C Cronin, Kevin C Browne, Ann M Hynes, Niamh Sultan, Sherif |
author_facet | Colleran, Gabrielle C Cronin, Kevin C Browne, Ann M Hynes, Niamh Sultan, Sherif |
author_sort | Colleran, Gabrielle C |
collection | PubMed |
description | BACKGROUND: Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. CASE REPORT: The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. CONCLUSION: Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome. |
format | Text |
id | pubmed-2803909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28039092010-01-10 Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series Colleran, Gabrielle C Cronin, Kevin C Browne, Ann M Hynes, Niamh Sultan, Sherif Cases J Case Report BACKGROUND: Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. CASE REPORT: The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. CONCLUSION: Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome. BioMed Central 2009-11-30 /pmc/articles/PMC2803909/ /pubmed/20062689 http://dx.doi.org/10.1186/1757-1626-2-9112 Text en Copyright ©2009 Colleran et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Colleran, Gabrielle C Cronin, Kevin C Browne, Ann M Hynes, Niamh Sultan, Sherif Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title | Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title_full | Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title_fullStr | Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title_full_unstemmed | Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title_short | Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
title_sort | management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803909/ https://www.ncbi.nlm.nih.gov/pubmed/20062689 http://dx.doi.org/10.1186/1757-1626-2-9112 |
work_keys_str_mv | AT collerangabriellec managementofanteriortriangleswellingsinatertiaryvascularcentrewithemphasisontherolesofduplexultrasoundcomputedtomographyangiogramandmagneticresonanceangiogramacaseseries AT croninkevinc managementofanteriortriangleswellingsinatertiaryvascularcentrewithemphasisontherolesofduplexultrasoundcomputedtomographyangiogramandmagneticresonanceangiogramacaseseries AT browneannm managementofanteriortriangleswellingsinatertiaryvascularcentrewithemphasisontherolesofduplexultrasoundcomputedtomographyangiogramandmagneticresonanceangiogramacaseseries AT hynesniamh managementofanteriortriangleswellingsinatertiaryvascularcentrewithemphasisontherolesofduplexultrasoundcomputedtomographyangiogramandmagneticresonanceangiogramacaseseries AT sultansherif managementofanteriortriangleswellingsinatertiaryvascularcentrewithemphasisontherolesofduplexultrasoundcomputedtomographyangiogramandmagneticresonanceangiogramacaseseries |