作者
Alexander Langerman, Sanjay M Athavale, Sanjeet V Rangarajan, Robert J Sinard, James L Netterville
发表日期
2012/4/1
期刊
Archives of Otolaryngology–Head & Neck Surgery
卷号
138
期号
4
页码范围
341-345
出版商
American Medical Association
简介
Objective
To evaluate the outcomes, growth rate, and symptoms of nonoperated cervical paragangliomas.
Design
Retrospective review of clinical and radiologic records and images.
Setting
Tertiary academic medical center.
Patients
We studied all patients presenting with cervical paragangliomas between 1993 and 2010 who were observed rather than operated on.
Main Outcome Measures
Growth of tumors and need for surgical removal.
Results
Forty-three patients with 47 tumors were identified. Mean patient age was 56 years (age range, 17-86 years). Thirty patients were asymptomatic (70%) (22 diagnosed by imaging for other reasons and 8 for workup of a neck mass), and only 5 presented with cranial nerve abnormalities (12%). No patients presented with lymphadenopathy, rapid growth, or pain. Reasons for observation were patient preference (n = 15; 35%), advanced age of patient (n = 12; 28%), and preexisting …
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