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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 256-259
DOI: 10.1055/s-0038-1639383
Case Report
Neurological Surgeons' Society of India

Serendipitous Detection of Cervical Nodal Metastasis in Glomus Jugulare

Shruti Venkitachalam
1   Department of ENT, Head, Neck and Skull base Surgery, Apollo Specialty Hospital, Chennai, Tamil Nadu, India
,
Rayappa Chinnusamy
1   Department of ENT, Head, Neck and Skull base Surgery, Apollo Specialty Hospital, Chennai, Tamil Nadu, India
,
Narendranath Ashok
1   Department of ENT, Head, Neck and Skull base Surgery, Apollo Specialty Hospital, Chennai, Tamil Nadu, India
,
Swatee Vasant Halbe
2   Department of Interventional Radiology, Apollo Specialty Hospital, Vanagaram, Chennai, Tamil Nadu, India
› Institutsangaben Funding None.
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Publikationsverlauf

Received: 05. Juni 2017

accepted after revision: 24. Oktober 2017

Publikationsdatum:
10. April 2018 (online)

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Abstract

We present the case of a 50-year-old man who presented to us with a history of having received radiation therapy for a glomus jugulare tumor. He had been on regular follow-up with serial imaging scans. The MRI done after 4 years of treatment revealed an interval increase in size. Carotid angiogram revealed, in addition to the glomus, multiple lymph nodes of similar pattern of vascularity, well lateral to the carotid sheath, in the ipsilateral neck. He underwent resection of the tumor and a neck dissection. Histopathology confirmed metastatic glomus jugulare in the cervical lymph nodes. He received adjuvant radiotherapy and is doing well.

Keywords

metastatic glomus - glomus in cervical nodes - carotid angiogram in metastatic glomus
 

  • References

  • 1 Chapman DB, Lippert D, Geer CP. et al. Clinical, histopathologic, and radiographic indicators of malignancy in head and neck paragangliomas. Otolaryngol Head Neck Surg 2010; 143 (04) 531-537
    CrossrefPubMedGoogle Scholar
  • 2 Brewis C, Bottrill ID, Wharton SB, Moffat DA. Glomus jugulare tumour with metastases to cervical lymph nodes. J Laryngol Otol 2000; 114 (01) 67-69
    PubMedGoogle Scholar
  • 3 Yetişer S, Ramadan S. Multiple primary malignant paraganglioma of the head and neck with lymph node metastasis. Kulak Burun Bogaz Ihtis Derg 2015; 25 (04) 232-236
    CrossrefPubMedGoogle Scholar
  • 4 Brewis C, Bottrill ID, Wharton SB, Moffat DA. Metastases from glomus jugulare tumours. J Laryngol Otol 2000; 114 (01) 17-23
    Google Scholar
  • 5 Brown JS. Glomus jugulare tumours. Methods and difficulties of diagnosis and surgical treatment. Laryngoscope 1967; 77: 765-787
    PubMedGoogle Scholar
  • 6 Duke WW, Boshell BR, Soteres PCJ. A norepinephrine secreting glomus tumour presenting as a phaeochromocytoma. Ann Intern Med 1964; 60: 1040-1047
    PubMedGoogle Scholar
  • 7 Sharma P, Thakar A, Suman KCS. et al. 68Ga-DOTANOC PET/CT for baseline evaluation of patients with head and neck paraganglioma. J Nucl Med 2013; 54 (06) 841-847
    CrossrefPubMedGoogle Scholar
  • 8 Lack E. Diagnostic Surgical Pathology. 2nd ed.. New York, NY: Raven Press; 1994
  • 9 Kliewer KECA, Cochran AJ. A review of the histology, ultrastructure, immunohistology, and molecular biology of extra-adrenal paragangliomas. Arch Pathol Lab Med 1989; 113 (11) 1209-1218
    PubMedGoogle Scholar
  • 10 Capella C, Riva C, Cornaggia M, Chiaravalli AMF, Frigerio B, Solcia E. Histopathology, cytology and cytochemistry of pheochromocytomas and paragangliomas including chemodectomas. Pathol Res Pract 1988; 183 (02) 176-187
    CrossrefPubMedGoogle Scholar
  • 11 Linnoila RI, Lack EE, Steinberg SMKH, Keiser HR. Decreased expression of neuropeptides in malignant paragangliomas: an immunohistochemical study. Hum Pathol 1988; 19 (01) 41-50
    CrossrefPubMedGoogle Scholar
  • 12 Boedeker CC, Neumann HPH, Maier W, Bausch B, Schipper J, Ridder GJ. Malignant head and neck paragangliomas in SDHB mutation carriers. Otolaryngol Head Neck Surg 2007; 137 (01) 126-129
    CrossrefPubMedGoogle Scholar
  • 13 Kamoshima Y, Sawamura Y, Hokari M, Iwasaki Y, Akita H. Cranio-cervical paraganglioma with numerous pulmonary metastases—case report. Neurol Med Chir (Tokyo) 2008; 48 (09) 401-404
    CrossrefPubMedGoogle Scholar
  • 14 Montie JE, Straffon RA, Deodhar SD, Barna B. In vitro assessment of cell-mediated immunity in patients with renal cell carcinoma. J Urol 1976; 115 (03) 239-242
    CrossrefPubMedGoogle Scholar
  • 15 Pipas JM, Krywicki RF. Treatment of progressive metastatic glomus jugulare tumor (paraganglioma) with gemcitabine. Neuro-oncol 2000; 2 (03) 190-191
    PubMedGoogle Scholar
  • 16 Jain TK, Basher RK, Shukla J, Mittal BR, Panda NK. Malignant Jugular Paraganglioma: Unusual Presentation on 68Ga DOTANOC PET/CT. Clin Nucl Med 2016; 41 (02) 150-152
    CrossrefPubMedGoogle Scholar