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July 1968

Glomus Jugulare Tumors: III. Clinical Diagnosis

Arch Otolaryngol. 1968;88(1):11-15. doi:10.1001/archotol.1968.00770010013005

Metastasis  IN 1958, I stated1 that the time had long since passed when one could justify the attitude that carotid body-like tumors (or however one designated these tumors) were benign. Figi and Weisman2 were of the opinion that those instances of metastasis previously reported in the literature were probably coincidental occurrences of chemodectoma and carotid body-like tumors. This is one of the early references to what today might be regarded as multicentric glomus jugulare tumors. Lattes and Waltner reported what they regarded as a metastasis of a nonchromaffin paraganglioma to the liver. They granted that their sections altered perhaps by postmortem changes showed poor preservation of tissue. Williams,3 commenting on metastasis, said since metastasis had not been reported in any of the later cases in this country and abroad, he was inclined to regard the report of Lattes and Waltner with reasonable doubt. He felt the consensus