title: [Carotid body tumor: expedient surgical technique].
abstract: Six hundred cases of carotid body tumors are reported in Literature. This tumor originates from ganglia cells which are able to produce catecholamines. The percentage of bilateral involvement is 32%. The hystological examination of specimens of this tumor reveals atypical cellular features in 30% of the cases. Clinically we divide this tumor into two classes: the first includes tumors whose growth is limited in the adventitial layer of the artery, while the second includes tumors with invasive growth in the arterial wall. In this paper a case of a large carotid body is reported. The importance of a correct pre-operative diagnosis based on supra-aortic-trunk angiography is stressed. A peri-adventitial surgical approach carried out with the aid of the operatory microscope is described. Particular emphasis is placed on intra-operative electroencephalographic monitoring which allows a safe vascular reconstructive surgery of the carotid complex when required.
authors.affiliation: Divisione di Neurochirurgia, Ospedale di Circolo di Varese.
authors.forename: P
authors.initials: P
authors.lastname: Fachinetti
authors.forename: B
authors.initials: B
authors.lastname: Ciccaglioni
authors.forename: G
authors.initials: G
authors.lastname: Velonà
mesh_terms: D002345:Carotid Body Tumor / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
vernacular_title: Tumore del glomo carotideo: accorgimenti di tecnica chirurgica.