HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours,...

19
HEAD AND NECK PARAGANGILOMA _ CASE REPORT BS NGUYỄN HỮU BẢO

Transcript of HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours,...

Page 1: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

HEAD AND NECK PARAGANGILOMA _ CASE REPORT

BS NGUYỄN HỮU BẢO

Page 2: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

Paragangliomas of the head and neck are rare

tumours, representing <0.5-0,6% of all head and

neck tumours.

Head and neck paragangliomas ( glomus

tumors or chemodectoma) are highly vascular

lesions originating from paraganglionic tissue

Overall there is a 3:1 female predominance

40yrs – 60, approximately 25% are multicentric

Page 3: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

Radiographic features

CT

enhancing mass

useful when bone erosion occurs

MRI

T1: salt and pepper

T1C+ (Gd): demonstrate rapid wash-in and wash-

out

Angiography

demonstrate an intense tumour blush

https://radiopaedia.org/articles/salt-and-pepper-sign
https://radiopaedia.org/articles/salt-and-pepper-sign
https://radiopaedia.org/articles/salt-and-pepper-sign
Page 4: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

Treatment and prognosis

Treatment is usually by excision

Preoperative endovascular embolisation

Radiotherapy may be used for palliation of unresectable lesions.

Malignant transformation : 16-19% of glomus vagale tumours, in

6% of carotid body tumours, and in 2-4% of glomus tympanicum

tumours.

Page 5: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

CBP = carotid body

paraganglion,

JTP = jugulotympanic

paraganglia,

VP = vagal

paraganglia.

Page 6: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

CAROTID BODY

PARAGANGLIOMAS

Page 7: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

VAGAL PARAGANGLIOMAS

Page 8: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

GLOMUS TYMPANIC PARAGANGLIOMAS

Page 9: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

GLOMUS JUGULARE

PARAGANGLIOMAS

Page 10: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

FEMALE, 74YRS

TÂY NINH

TINNITUS

FACIAL PARALYSIS

Page 11: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 12: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 13: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 14: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 15: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 16: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 17: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 18: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing
Page 19: HEAD AND NECK PARAGANGILOMA CASE REPORT · Paragangliomas of the head and neck are rare tumours, representing

JUGULARE AND VAGAL PARAGANGLIOMAS ??


Neck Dissection of the Head and Neck Sarcoma...Neck Dissection of the Head and Neck Sarcoma Yuki Saito and Takahiro Asakage Department of Otolaryngology, Head and Neck Surgery, The

Neck Dissection of the Head and Neck Sarcoma...Neck Dissection of the Head and Neck Sarcoma Yuki Saito and Takahiro Asakage Department of Otolaryngology, Head and Neck Surgery, The

Head & Neck Crash

Head & Neck Crash

STATE OF THE ART MANAGEMENT of PARAGANGLIOMA IFOS, Lima… · PARAGANGLIOMAS OF THE HEAD & NECK TUMOUR DETAILS : IMAGING CT SCAN Ear, Head & Neck Bone Detail Contrast CTA MRI SCAN

STATE OF THE ART MANAGEMENT of PARAGANGLIOMA IFOS, Lima… · PARAGANGLIOMAS OF THE HEAD & NECK TUMOUR DETAILS : IMAGING CT SCAN Ear, Head & Neck Bone Detail Contrast CTA MRI SCAN

REVIEW Head and neck paragangliomas: clinical and ... · REVIEW Head and neck paragangliomas: clinical and molecular genetic classification Christian Offergeld,I Christoph Brase,II

REVIEW Head and neck paragangliomas: clinical and ... · REVIEW Head and neck paragangliomas: clinical and molecular genetic classification Christian Offergeld,I Christoph Brase,II

Treatment of Head and Neck Paragangliomas Cancer Control July 2016, Vol. 23, No. 3 When treatment for paragangliomas of the head and neck is indicated, an algorithm-based approach

Treatment of Head and Neck Paragangliomas Cancer Control July 2016, Vol. 23, No. 3 When treatment for paragangliomas of the head and neck is indicated, an algorithm-based approach

Head & Neck Cancer Clinical Guidelines - NECN NECNnecn.nhs.uk/wp-content/uploads/2015/02/Head-Neck... · Head & Neck Cancer Clinical Guidelines Head & Neck NSSG on behalf of NECN

Head & Neck Cancer Clinical Guidelines - NECN NECNnecn.nhs.uk/wp-content/uploads/2015/02/Head-Neck... · Head & Neck Cancer Clinical Guidelines Head & Neck NSSG on behalf of NECN

ACSST INTERNATIONAL HEAD & NECK DISSECTION COURSEacsst.in/.../pdf/International_Head_and_Neck_Course... · International Head and Neck Dissection Course Deptt. Head & neck, AIIMS,

ACSST INTERNATIONAL HEAD & NECK DISSECTION COURSEacsst.in/.../pdf/International_Head_and_Neck_Course... · International Head and Neck Dissection Course Deptt. Head & neck, AIIMS,

Treatment of Head and Neck Paragangliomas228 Cancer Control July 2016, Vol. 23, No. 3 When treatment for paragangliomas of the head and neck is indicated, an algorithm-based approach

Treatment of Head and Neck Paragangliomas228 Cancer Control July 2016, Vol. 23, No. 3 When treatment for paragangliomas of the head and neck is indicated, an algorithm-based approach

Paragangliomas of the Head and Neck - Welcome to UTMB ... · Paragangliomas of the Head and Neck ... •Infection Strep/Staph, EBV, TB, ... –Jugulotympanic deep red when viewing

Paragangliomas of the Head and Neck - Welcome to UTMB ... · Paragangliomas of the Head and Neck ... •Infection Strep/Staph, EBV, TB, ... –Jugulotympanic deep red when viewing

Head neck ppt

Head neck ppt

Cummings Otolaryngology Head & Neck · PDF fileCummings Otolaryngology Head & Neck Surgery ... Head and Neck Surgical Oncology Department of Otolaryngology–Head and Neck Surgery

Cummings Otolaryngology Head & Neck · PDF fileCummings Otolaryngology Head & Neck Surgery ... Head and Neck Surgical Oncology Department of Otolaryngology–Head and Neck Surgery

Head and neck

Head and neck

Head & Neck

Head & Neck

Head & neck cancer

Head & neck cancer

Head & Neck History Headache Head injury Dizziness Neck pain Lumps or swelling Head or neck surgery.

Head & Neck History Headache Head injury Dizziness Neck pain Lumps or swelling Head or neck surgery.

NCCN Head & Neck

NCCN Head & Neck

Update on Paragangliomas and PheochromocytomasParagangliomas most commonly found in the head/neck region and this group is the most commonly known paraganglioma (14,15). There are

Update on Paragangliomas and PheochromocytomasParagangliomas most commonly found in the head/neck region and this group is the most commonly known paraganglioma (14,15). There are

Multiple paragangliomas of head and neck associated with ......the autonomic nervous system. Approximately 3 % of all paragangliomas occur in the head and neck area. Head and neck

Multiple paragangliomas of head and neck associated with ......the autonomic nervous system. Approximately 3 % of all paragangliomas occur in the head and neck area. Head and neck

Paragangliomas of the Head and Neck: A Pictorial Essay

Paragangliomas of the Head and Neck: A Pictorial Essay

Advances in the Treatment of Head & Neck cancer · Advances in the Treatment of Head & Neck cancer ... Macmillan Head & Neck CNS. Aims To provide a brief revision of Head & Neck anatomy

Advances in the Treatment of Head & Neck cancer · Advances in the Treatment of Head & Neck cancer ... Macmillan Head & Neck CNS. Aims To provide a brief revision of Head & Neck anatomy