Objective To investigate the clinical and pathological chracteristics, diagnosis and treatment of carotid body tumors ( CBT) . Methods Clinical data of one rare case with multiple bilateral CBT who was admitted to Zhongshan Hospital Affiliated to Fudan University was respectively analyzed, and the relevant literature was re-viewed. Results A 42-year-old male was admitted to our hospital with palpable left neck mass by himself for 5 years, which was enlarged recently. Bilateral CBT was diagnosed according to CT arteriography of the neck and the tumor on the left was removed under general anesthesia due to its large size. Two isolated tumors were detected during the operation and were both resected. The tumors were confirmed by the post-operative pathological examination. Neither recurrent mass of left side nor the enlargement of right tumor was found in the 4 months of follow-up. Proce-dural complications of hoarseness and coughing when drinking were not fully recovered. Conclusion CBT is rare in clinical practice, especially multiple bilateral masses. Clinicians need to strengthen their knowledge of CBT and pay more attention to possible contralateral and ipsilateral additional tumors in preoperative images for better therapeutic strategies.%目的 探讨颈动脉体瘤的临床特点、病理特点及诊治方法.方法 对复旦大学附属中山医院收治的1例临床罕见的双侧多发颈动脉体瘤临床资料进行回顾性分析,并复习相关文献.结果 患者为42岁男性,自行扪及左侧颈部肿物5年,因肿物增大入院治疗.查颈部CT动脉造影示双侧颈动脉体瘤,考虑左侧瘤体巨大遂在全麻下行左颈动脉体瘤切除术,术中探查发现左侧共2个颈动脉体瘤,完整切除瘤体后,术后病理检查证实诊断.术后随访4个月,左侧瘤体无复发,右侧瘤体无增大,术后出现的声音嘶哑及饮水呛咳症状未完全恢复.结论 颈动脉体瘤属于少见病,双侧多发更为罕见.临床医师应加强对颈动脉体瘤的认识,术前仔细阅片,注意对侧及同侧病灶遗漏的可能,并制定合理的治疗方案.
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