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Endovascular Approach to Glomus Jugulare Tumors

BACKGROUND: Paragangliomas are benign neuroendocrine tumors derived from the glomus cells of the vegetative nervous system. Typically, they are located in the region of the jugular bulb and middle ear. The optimal management is controversial and can include surgical excision, stereotactic radiosurge...

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Autores principales: Kocur, Damian, Ślusarczyk, Wojciech, Przybyłko, Nikodem, Hofman, Mariusz, Jamróz, Tomasz, Suszyński, Krzysztof, Baron, Jan, Kwiek, Stanisław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487373/
https://www.ncbi.nlm.nih.gov/pubmed/28685005
http://dx.doi.org/10.12659/PJR.901141
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author Kocur, Damian
Ślusarczyk, Wojciech
Przybyłko, Nikodem
Hofman, Mariusz
Jamróz, Tomasz
Suszyński, Krzysztof
Baron, Jan
Kwiek, Stanisław
author_facet Kocur, Damian
Ślusarczyk, Wojciech
Przybyłko, Nikodem
Hofman, Mariusz
Jamróz, Tomasz
Suszyński, Krzysztof
Baron, Jan
Kwiek, Stanisław
author_sort Kocur, Damian
collection PubMed
description BACKGROUND: Paragangliomas are benign neuroendocrine tumors derived from the glomus cells of the vegetative nervous system. Typically, they are located in the region of the jugular bulb and middle ear. The optimal management is controversial and can include surgical excision, stereotactic radiosurgery and embolization. CASE REPORT: We report the endovascular approach to three patients harboring glomus jugulare paragangliomas. In all cases incomplete occlusion of the lesions was achieved and recanalization in the follow-up period was revealed. Two patients presented no clinical improvement and the remaining one experienced a transient withdrawal of tinnitus. CONCLUSIONS: It is technically difficult to achieve complete obliteration of glomus jugulare tumors with the use of embolization and the subtotal occlusion poses a high risk of revascularization and is not beneficial in terms of alleviating clinical symptoms.
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spelling pubmed-54873732017-07-06 Endovascular Approach to Glomus Jugulare Tumors Kocur, Damian Ślusarczyk, Wojciech Przybyłko, Nikodem Hofman, Mariusz Jamróz, Tomasz Suszyński, Krzysztof Baron, Jan Kwiek, Stanisław Pol J Radiol Case Report BACKGROUND: Paragangliomas are benign neuroendocrine tumors derived from the glomus cells of the vegetative nervous system. Typically, they are located in the region of the jugular bulb and middle ear. The optimal management is controversial and can include surgical excision, stereotactic radiosurgery and embolization. CASE REPORT: We report the endovascular approach to three patients harboring glomus jugulare paragangliomas. In all cases incomplete occlusion of the lesions was achieved and recanalization in the follow-up period was revealed. Two patients presented no clinical improvement and the remaining one experienced a transient withdrawal of tinnitus. CONCLUSIONS: It is technically difficult to achieve complete obliteration of glomus jugulare tumors with the use of embolization and the subtotal occlusion poses a high risk of revascularization and is not beneficial in terms of alleviating clinical symptoms. International Scientific Literature, Inc. 2017-06-19 /pmc/articles/PMC5487373/ /pubmed/28685005 http://dx.doi.org/10.12659/PJR.901141 Text en © Pol J Radiol, 2017 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Kocur, Damian
Ślusarczyk, Wojciech
Przybyłko, Nikodem
Hofman, Mariusz
Jamróz, Tomasz
Suszyński, Krzysztof
Baron, Jan
Kwiek, Stanisław
Endovascular Approach to Glomus Jugulare Tumors
title Endovascular Approach to Glomus Jugulare Tumors
title_full Endovascular Approach to Glomus Jugulare Tumors
title_fullStr Endovascular Approach to Glomus Jugulare Tumors
title_full_unstemmed Endovascular Approach to Glomus Jugulare Tumors
title_short Endovascular Approach to Glomus Jugulare Tumors
title_sort endovascular approach to glomus jugulare tumors
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487373/
https://www.ncbi.nlm.nih.gov/pubmed/28685005
http://dx.doi.org/10.12659/PJR.901141
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