[HSF] Carotid paraganglioma

[erdinç naseri]

Opinion required about the following case:
52 Y/O female with R TMJ pulsatile mass diagnosed as glomus tumor applied for surgery.DSA: tumor blush encircling carotid bifurcation and both branches.Cervicocranial MR( 1.5 months ago):mass encircling carotid bifurcation and branches but not behind the mandible.Operated today: mass encircling the above mentioned structures but also hypoglossal nerve  extending behind  TMJ , posterior belly of digastric behind submandibular gland. Very fragile .Couldn't find a plane for safe seperation.En bloc exicision with ICA was neccessary but distal ICA was inaccessible. Did nothing. Radiotherapy? 
Erdinc
PS:In our center glomus tumor of this magnitude is treated by Cardiovascular surgeons.