IT HAS become apparent to me and I have said so repeatedly at lectures and in publications,1,2 that a rational mode of therapy can logically be proposed if one attempts to classify these tumors into stages based on clinical empirical estimation of the underlying pathology, at the time they are first seen. One must realize that for many reasons it is most difficult to evaluate a modality of therapy in glomus jugulare tumors, whether it be surgery, irradiation, or a combination of both, when it is generally known that these tumors, untreated, have changed very slowly over the years. Bickerstaff and Howell3 reported a patient who had a glomus jugulare tumor untreated for 42 years.
Twenty-five years ago, I removed a huge glomus tumor from the middle ear, mastoid, and jugular bulb area. I left tumor attached to the jugular bulb and gave irradiation postoperatively (5,500 rads, 200
Rosenwasser H. Glomus Jugulare Tumors: Long-Term Tumors. Arch Otolaryngol. 1969;89(1):160–166. doi:10.1001/archotol.1969.00770020162029
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