| Preoperative imaging diagnosis of carotid body tumors. | |
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MedLine Citation:
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PMID: 21067004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Carotid body tumors (CBTs) are relatively frequent lesions encountered at high altitudes, such in as the Andean Mountains. A correct preoperative diagnosis is essential for surgical planning and performance. For this reason, we have reviewed the evolution of our experience in the imaging diagnosis of these tumors. Between 1980 and June 2008, 160 CBTs were diagnosed. A total of 138 tumors were operated on, 4 are waiting for surgery, and 18 were not operated on because of age, medical conditions, or patient refusal. We have reviewed retrospectively the modalities of imaging diagnosis in our patients who underwent operation. Among the 138 tumors operated on, a correct preoperative diagnosis was done in 127 cases (92%). The preoperative diagnosis of the remaining 11 patients was unspecified benign tumor for 6 patients and neck lymph node for 5 patients. The imaging methods performed by different radiologists were conventional ultrasound, color Doppler ultrasound, carotid conventional angiography (CA), axial tomography, magnetic resonance and magnetic resonance angiography, and computed tomographic angiography (CTA). Most patients had more than one image study. Review of radiologist reports revealed a correct diagnosis in all carotid CA, magnetic resonance studies, and CTA. Additionally, CTA appeared to be a valuable method to predict the Shamblin group. Clinical suspicion and current image techniques permit a correct diagnosis in practically all cases of CBT. |
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Authors:
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Luis A Pacheco-Ojeda; Miguel A Martínez-Viteri |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International surgery Volume: 95 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 2010 Jul-Sep |
Date Detail:
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Created Date: 2010-11-11 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0043524 Medline TA: Int Surg Country: Italy |
Other Details:
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Languages: eng Pagination: 242-6 Citation Subset: IM |
Affiliation:
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Department of Surgery, Head and Neck Unit, Ecuadorian Social Security Hospital, Quito, Ecuador. luispach@interactive.net.ec |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Carotid Body Tumor
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diagnosis*,
surgery Diagnostic Imaging* / utilization Humans Preoperative Period Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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