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Bilateral Carotid Body Tumor Evaluated by Three-Dimensional Multislice Computed Tomography Angiography

2004; Lippincott Williams & Wilkins; Volume: 109; Issue: 7 Linguagem: Inglês

10.1161/01.cir.0000108163.76108.2e

1524-4539

Riccardo Iannaccone, Carlo Catalano, Andrea Laghi, M Caratozzolo, Filippo Mangiapane, Massimiliano Danti, Roberto Passariello,

Pituitary Gland Disorders and Treatments

HomeCirculationVol. 109, No. 7Bilateral Carotid Body Tumor Evaluated by Three-Dimensional Multislice Computed Tomography Angiography Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplementary MaterialsFree AccessReview ArticlePDF/EPUBBilateral Carotid Body Tumor Evaluated by Three-Dimensional Multislice Computed Tomography Angiography Riccardo Iannaccone, MD, Carlo Catalano, MD, Andrea Laghi, MD, Marcello Caratozzolo, MD, Filippo Mangiapane, MD, Massimiliano Danti, MD and Roberto Passariello, MD Riccardo IannacconeRiccardo Iannaccone From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. , Carlo CatalanoCarlo Catalano From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. , Andrea LaghiAndrea Laghi From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. , Marcello CaratozzoloMarcello Caratozzolo From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. , Filippo MangiapaneFilippo Mangiapane From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. , Massimiliano DantiMassimiliano Danti From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. and Roberto PassarielloRoberto Passariello From the Department of Radiological Sciences, University of Rome–La Sapienza, Policlinico Umberto I, Rome, Italy. Originally published24 Feb 2004https://doi.org/10.1161/01.CIR.0000108163.76108.2ECirculation. 2004;109:e64A 22-year-old man presented to our institution with a palpable mass in the right side of his neck associated with mild dysphagia. Ultrasonography of the neck demonstrated a hypervascular mass within the right carotid bifurcation, consistent with a carotid body tumor. No other abnormality was detected either at palpation or at ultrasonography on the left side of the neck.Preoperative computed tomography (CT) angiography of carotid arteries was subsequently performed using a multislice spiral CT scanner (Somatom Plus 4 Volume Zoom, Siemens). After intravenous injection of 80 mL of nonionic iodinated contrast material (Visipaque 320, Amersham Health), CT scanning was performed using a high-resolution protocol (slice thickness, 1.0 mm). After acquisition, CT images were transferred to a dedicated workstation, and volume-rendering images were generated (Vitrea 2, Vital Images).Multislice CT angiography not only demonstrated a large, right-sided carotid body tumor, but it also showed a small, unsuspected mass within the left carotid bifurcation. The 3D volume-rendering reconstructions (Figure; Data Supplement Movie) provided a selective visualization of the anatomic relationships among carotid body tumors, vessels, and surrounding osseous structures with excellent detail. Download figureDownload PowerPointMultislice spiral CT angiography with 3D volume-rendering reconstruction shows a large, right-sided carotid body tumor (arrow) (A) causing marked widening of the carotid bifurcation; a small carotid body tumor also is evident within the left carotid bifurcation (arrow) (B).Both tumors were surgically removed with no complications. Histological analysis showed findings typical of carotid body tumors with no signs of malignancy.The Movie is available in the online-only Data Supplement at http://www.circulationaha.org.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke's Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.FootnotesCorrespondence to Riccardo Iannaccone, Via Arturo Graf, 40, 00137—Rome, Italy. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetails February 24, 2004Vol 109, Issue 7 Advertisement Article InformationMetrics https://doi.org/10.1161/01.CIR.0000108163.76108.2EPMID: 14981015 Originally publishedFebruary 24, 2004 PDF download Advertisement