title: Management of carotid body tumor in pediatric patients: A case report and review of the literature.
abstract: Carotid body tumors (CBTs) are rare types of extra-adrenal paragangliomas, which originate from the neuroendocrine cells of the adventitial layer of carotid bifurcation. An 8-year-old girl was admitted to our department with left-sided and pulsating neck swelling, which progressively grew over several months. The patient had no family history of CBTs. Computed tomography (CT) and CT angiography (CTA) scans revealed a contrast material enhancing, hypervascularized mass involving the left carotid bifurcation, internal carotid artery (ICA), and external carotid artery (ECA), respectively. Preoperative embolization and surgical resection were performed. Histopathological examination later confirmed a benign CBT. Current follow-up examination revealed no evidence of residual or recurrent tumor. A systemic review of the literature indicates that early diagnosis, and experienced multi-disciplinary management is required in case of unilateral, resectable forms of CBTs with no distant metastasis, in order to provide a long-time survival of patients. Surgical intervention of unilateral, solitary CBTs with preoperative embolization is a relatively safe procedure, allowing complete tumor removal with minimal morbidity and low recurrence rate.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, B-A-Z County Hospital and University Teaching Hospital, Miskolc, Hungary.
authors.forename: Apanisile
authors.initials: A
authors.lastname: Ifeoluwa
authors.affiliation: Department of Interventional Radiology, B-A-Z County Hospital and University Teaching Hospital, Miskolc, Hungary.
authors.forename: István
authors.initials: I
authors.lastname: Lázár
authors.affiliation: Department of Pathology, B-A-Z County Hospital and University Teaching Hospital, Miskolc, Hungary.
authors.forename: Éva
authors.initials: É
authors.lastname: Szövördi
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, B-A-Z County Hospital and University Teaching Hospital, Miskolc, Hungary. Electronic address: karositamas@gmail.com.
authors.forename: Tamás
authors.initials: T
authors.lastname: Karosi
mesh_terms: D017536:Carotid Artery, Common / Q000473:pathology; D002345:Carotid Body Tumor / Q000000981:diagnostic imaging / Q000628:therapy*; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010372:Pediatrics; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Carotid body tumor; Embolization; Neuroradiology; Paragangliomas