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July 1968

Glomus Jugulare Tumors: IV. Therapy

Arch Otolaryngol. 1968;88(1):16-26. doi:10.1001/archotol.1968.00770010018006

EXPERIENCE has been my teacher in caring for patients with glomus jugulare tumors. What seemed difficult and trying in my early encounters with tumors confined to the middle ear and mastoid bone was as nothing to the difficulties posed by some of the unsuspected complications noted in my later experiences. The old adage about things never being so bad but that they cannot be worse applies here. Not too long ago I saw a young woman with a mass in the external auditory canal. The mass protruded from a defect in the tympanic membrane. A biopsy was taken and was reported as typical glomus jugulare tumor. This patient had overt signs and symptoms of a brain tumor, ie, papilledema, localizing signs, and positive angiograms delineating a space occupying lesion. She was treated with cobalt 60 teletherapy (5,000 rads in 30 days) and had a remarkable, temporary result with defervescence of

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