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February 1965

The Carotid Body Tumor: A Review of 29 Cases

Author Affiliations

From the Department of Otolaryngology, Columbia Presbyterian Medical Center, and the Head and Neck Department, Pack Medical Group.

Arch Otolaryngol. 1965;81(2):187-193. doi:10.1001/archotol.1965.00750050194015

THE CAROTID body tumor has proved to be a curiously enigmatic entity over the past decades. The controversial aspects concerning its biologic behavior and the justification for its extirpation are being clarified. The development of this neoplasm in the adventitia of the carotid bulb has added significant serious aspects to its removal. These potentials are analyzed in the light of the fact that not all carotid body tumors are resectable, that not all carotid body tumors which are resectable should be resected, and, that, once it has been decided that extirpation is justified, the greatest respect should be shown to this surgical procedure by an experienced neck surgeon.

The carotid body tumor is a nonchromaffin paraganglioma associated with a network of chemoreceptor organs deposited in specific regions in the head and neck. These chemoreceptor centers present small paraganglionic foci in the middle ear, jugular bulb, carotid bulb, base of the

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