After 4 hours of surgery, doctors at Da Nang Hospital successfully removed the entire right carotid artery tumor from a 56-year-old male patient without complications.
On October 25, Da Nang Hospital announced that it had successfully performed surgery to remove a tumor from the right carotid body of a 56-year-old male patient. This is a rare disease with an incidence of 1-2 patients per 100,000 people.
Previously, patient D.XL (born in 1968, residing in Son Tra district, Da Nang city) came to Da Nang Hospital for examination with a painful tumor in the right neck area, the tumor throbbed with the heartbeat.
At Da Nang Hospital, the patient was prescribed an ultrasound, a CT scan with contrast of the neck veins, and other clinical tests.
The results showed a mass occupying the right neck measuring 33x37x64mm, clearly defined, surrounding the right carotid artery bundle, with central blood vessels, and strong vascular proliferation after contrast injection.
The patient was diagnosed by the doctor with a complicated right carotid tumor, compression of the right carotid artery, and was admitted to the Department of Thoracic Surgery for surgical removal of the tumor.
Directly performing surgery on the patient on October 16, specialist doctor II Than Trong Vu, Head of the Department of Thoracic Surgery, Da Nang Hospital, said that the surgery was very difficult because the tumor was large and had many blood vessels, hugging the internal carotid artery, external carotid artery and the bifurcation of the carotid artery.
Large tumors spread above the skull base and down, causing compression of the common carotid artery, so the risk of bleeding during and after surgery is very high.
There is also a possibility of brain injury during carotid artery clamping to treat carotid artery injury during dissection.
However, with the extensive experience of the doctors of the Department of Anesthesia and Resuscitation and the Department of Thoracic Surgery, after 4 hours of surgery, the doctors were successful in removing the entire mass without complications.
The post-operative pathology results were paraganglioma of the head and neck consistent with the diagnosis of carotid body tumor. After surgery, the patient's health was stable. The patient could eat, drink, and talk normally and was discharged from the hospital.
Doctor Than Trong Vu said that carotid body tumors are a rare type of tumor. The incidence is 1-2 patients/100,000 people, accounting for 0.6/100 neck tumors. The nature of the tumor is usually benign, however, about 5-7% of tumors have the potential to be malignant.
The tumor originates from the bifurcation of the common carotid artery into the internal and external carotid arteries.
Around the tumor there are many important cranial nerves such as the glossopharyngeal nerve, hypoglossal nerve, and vagus nerve.
Surgery is the only radical treatment but it is very difficult, many neurological and vascular complications can occur. At the Department of Thoracic Surgery, this tumor has not been seen in 10 years.
Doctor Than Trong Vu recommends: If the patient feels an unusually large neck area or a lump protruding, they should go to a specialized medical facility for timely treatment, to avoid the case of a large tumor making surgery difficult and leading to many complications./.
Source: https://www.vietnamplus.vn/phau-thuat-cat-bo-thanh-cong-khoi-u-than-canh-hiem-gap-cho-benh-nhan-o-da-nang-post987520.vnp
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