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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 1998 December;5(4):247-57
language: English, Italian
The carotid chemodectoma
Angelini R., De Luca M., Baiocchi G., Di Nardo E., Santarelli M., Ucchino S., Spigonardo F.
From the Surgical Unit ASL Chieti, Chieti, Italy
The glomic tumour or chemodectoma is a rare tumour with an unpredictable biological evolution. It is usually not functional, although rare vasoactive amine-secreting forms have been described. Surgery is the only form of resolutive therapy and the technique varies according to the infiltration or otherwise of carotid vessels. Operative mortality following radical treatment was prohibitive until a few decades ago (33%), but the current series show more acceptable percentages (1-3%). The authors report the medium-term (33 months) results of 4 cases undergoing surgery. All aspects regarding glomic tumours are discussed in detail, paying special attention to the most appropriate diagnostic procedure and the surgical techniques used. The authors also examine published data regarding morbidity in relation to surgical technique and long-term results.