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Ahead of Print
CASE REPORTS
Published online: 2020-07-21
Submitted: 2020-06-04
Accepted: 2020-06-29
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Carotid paragangliomas: case report and imaging review

R. A. Baz, C. Scheau, N. Sârbu, D. O. Costea, A. Dijmărescu, P. Bordei
DOI: 10.5603/FM.a2020.0078
·
Pubmed: 32710793

open access

Ahead of Print
CASE REPORTS
Published online: 2020-07-21
Submitted: 2020-06-04
Accepted: 2020-06-29

Abstract

Background: Presentation of case reviews depicting the imaging characteristics of carotid paragangliomas, associated with a thorough analysis of the anatomical morphological features and the current therapeutic strategies.

Methods: We present the cases of three patients diagnosed with carotid paragangliomas in our clinic, illustrating diagnostic imaging elements by computer tomography (CT) and magnetic resonance imaging (MRI), but also the postoperative aspect of the carotid system, with respective anatomical, clinical and surgical considerations. 

Results: The imaging aspect of the carotid paragangliomas is characterized by a mass of soft tissue with intense contrast enhancement and with “salt and pepper" MRI appearance on conventional spin-echo sequences. The postoperative evolution of the patients included in the article was favorable, without any perioperative complications or signs of local tumor recurrence.

Conclusions: Carotid paragangliomas are rare, often asymptomatic tumors, but with potential for increased malignancy, which raises the need for good knowledge of the cervical region pathology as well as the features of neuroendocrine tumors. CT and MRI examinations are essential for diagnosis, staging and, implicitly, for establishing the therapeutic strategy.

Abstract

Background: Presentation of case reviews depicting the imaging characteristics of carotid paragangliomas, associated with a thorough analysis of the anatomical morphological features and the current therapeutic strategies.

Methods: We present the cases of three patients diagnosed with carotid paragangliomas in our clinic, illustrating diagnostic imaging elements by computer tomography (CT) and magnetic resonance imaging (MRI), but also the postoperative aspect of the carotid system, with respective anatomical, clinical and surgical considerations. 

Results: The imaging aspect of the carotid paragangliomas is characterized by a mass of soft tissue with intense contrast enhancement and with “salt and pepper" MRI appearance on conventional spin-echo sequences. The postoperative evolution of the patients included in the article was favorable, without any perioperative complications or signs of local tumor recurrence.

Conclusions: Carotid paragangliomas are rare, often asymptomatic tumors, but with potential for increased malignancy, which raises the need for good knowledge of the cervical region pathology as well as the features of neuroendocrine tumors. CT and MRI examinations are essential for diagnosis, staging and, implicitly, for establishing the therapeutic strategy.

Get Citation

Keywords

paraganglioma, carotid body tumor, carotid arteries, diagnostic tools, imaging, therapeutic strategy

About this article
Title

Carotid paragangliomas: case report and imaging review

Journal

Folia Morphologica

Issue

Ahead of Print

Published online

2020-07-21

DOI

10.5603/FM.a2020.0078

Pubmed

32710793

Keywords

paraganglioma
carotid body tumor
carotid arteries
diagnostic tools
imaging
therapeutic strategy

Authors

R. A. Baz
C. Scheau
N. Sârbu
D. O. Costea
A. Dijmărescu
P. Bordei

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