Клиничен случай на гломусен тумор в напреднал стадий

Abstract

Introduction: Paragangliomas are rare tumors which may occur at various locations in the human body, 85% of the abdomen, 12% in the area of the breast and 3% of the head and neck. Those in the field of head and neck depending on your location can be divided into: carotid (bifurcation of the carotid artery), timpanic glomus (glomus tympanicum), jugular glomus (glomus jugulare) and vagal paraganglioma. They make up 0.6% of the neoplasms of the head and neck.
Material and methods: Clinical case of 65 year-old patient L.K.V. submitted on diagnostics and treatment in the ENT Clinic at the University Hospital „ Tz. Joanna-ISUL „on the occasion of hoarseness and bleeding from the right ear. Due to the size of the entity in the external auditory canal, was taken only biopsy and after CT scan with contrast were discussed treatment options of clinikal meeting.
Results: Due to the very advanced stage of the disease the patient after discussion with the neurosurgeon and radiologist was decided to conduct radiation therapy because of the risks inherent in surgery after selective embolization.
Conclusion: Surgery is the treatment of choice in patients with glomus tumors at an early stage. The application of selective preoperative embolization or as alone treatment method effective in early stage. In old age of the patient and advanced tumors is only suitable conducting radiotherapy.