Radiology Case Reports (Dec 2024)

Percutaneous preoperative embolization with onyx in the management of a carotid body tumor: A case report

  • Ilaria Villanova,
  • Domenico Sergio Zimatore,
  • Cristian Dell'Atti,
  • Nicola Maria Lucarelli,
  • Giovanni Lorusso,
  • Vincenzo De Toma,
  • Luca De Marco,
  • Chiara Morelli,
  • Nicola Maggialetti,
  • Amato Antonio Stabile Ianora

Journal volume & issue
Vol. 19, no. 12
pp. 5922 – 5925

Abstract

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Carotid body tumors (CBTs) are rare, hypervascular neuroendocrine neoplasms that can lead to significant complications during surgical resection due to the high risk of bleeding. We present the case of a 64-year-old male with a palpable neck mass on the left side, diagnosed as a CBT through imaging studies. Given the tumor's increasing size and rich vascularization, percutaneous preoperative embolization with Onyx under ultrasound and angiographic guide, was performed to minimize intraoperative complications. Forty-eight hours later, the tumor was surgically resected with minimal blood loss and no injury to cranial nerves or the carotid bifurcation.

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