72 research outputs found
Synchronous malignant vagal paraganglioma with contralateral carotid body paraganglioma treated by radiation therapy
Paragangliomas are rare tumors and very few cases of malignant vagal paraganglioma with synchronous carotid body paraganglioma have been reported. We report a case of a 20-year old male who presented with slow growing bilateral neck masses of eight years duration. He had symptoms of dysphagia to solids, occasional mouth breathing and hoarseness of voice. Fine needle aspiration cytology (FNAC) performed where he lived showed a sinus histiocytosis and he was administered anti-tubercular treatment for six months without any improvement in his symptoms. His physical examination revealed pulsatile, soft to firm, non-tender swellings over the anterolateral neck confined to the upper-mid jugulo-diagastric region on both sides. Direct laryngoscopy examination revealed a bulge on the posterior pharyngeal wall and another over the right lateral pharyngeal wall. Magnetic resonance imaging (MRI), 99mTc-labeled octreotide scan and angiography diagnosed the swellings as carotid body paraganglioma, stage III on the right side with left-sided vagal malignant paraganglioma. Surgery was ruled out as a high morbidity with additional risk to life was expected due to the highly vascular nature of the tumor. The patient was treated with radiation therapy by image guided radiation to a dose of 5040cGy in 28 fractions. At a follow-up at 16 months, the tumors have regressed bilaterally and the patient can take solids with ease
FDG PET imaging of paragangliomas of the neck: comparison with MIBG SPET
Two patients with cervical paragangliomas underwent positron emission tomography (PET) with 2-[ 18 F]-fluoro-2-deoxy-D-glucose (FDG). There was marked tumor uptake and retention of FDG. Adjacent salivary gland accumulation of FDG was minimal, though quite prominent with meta -iodobenzylguanidine. FDG PET offers another potentially useful approach to functional imaging of these uncommon tumors, independent of the presence of specific amine uptake mechanisms or cell surface receptors required by other scintigraphic techniques.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46837/1/259_2004_Article_BF00801625.pd
Determination of eye irritation potential of low-irritant products: comparison of in vitro results with the in vivo draize rabbit test
Diagnosis and Management of New-Onset Hoarseness: A Survey of the American Broncho-Esophagological Association
Lateral Upper Arm Free Flap for Primary Reconstruction of Pharyngeal Defects in Ablative Oncological Surgery
AlloDerm with Split-Thickness Skin Graft for Coverage of the Forearm Free Flap Donor Site
Small-Bowel Volvulus in Late Pregnancy Due to Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass
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