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Surgery Miscellaneous 9a8daf09

A 40-year-old patient is suffering from carotid body tumor. Which of the following is the best choice of treatment for him?

A
Excision of tumor
B
Radiotherapy
C
Chemotherapy
D
Carotid artery ligation both proximal and distal to the tumor
High-Yield Explanation
Ans. (a) Excision of tumorRef: Schwartz 10th Edition Page 678* It is a non-chromaffin paraganglioma* 10% have family history* FNAC and Biopsy are contraindicated* Carotid Angiogram shows - LYRE sign* Excision of the tumor is the treatment of choice.* It rarely metastasize and growth is very slow hence in old age no need of surgery.* Complications of Excision:# Most common nerve injured: Superior Laryngeal Nerve# First bite syndrome: Pain with mastication# Baroreceptor failure if both side carotid body tumor is excised (Wide fluctuations in BP happens)

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