Long-term follow-up of my cases of glomus jugulare tumors (30 years) and wide experience with cases referred to me have convinced me that surgery, when feasible, is the method of choice in treatment of this lesion. Irradiation is a potent modality of treatment and has been most valuable especially when recurrences occur after surgery.
There are difficulties inherent in differential diagnosis. Glomus jugulare tumors were overlooked and treated as unresolved middle ear infections, subacute otitis media, serous otitis media, and congenital cholesteatoma far too frequently. Metastasis and multicentricity have been observed in significant numbers over the years, and their basic mechanisms still have not been satisfactorily elucidated. Finally, the mortality of almost 17% is striking and negates the concept advanced by some that glomus jugulare tumors are benign.
Rosenwasser H. Long-Term Results of Therapy of Glomus Jugulare Tumors. Arch Otolaryngol. 1973;97(1):49–54. doi:10.1001/archotol.1973.00780010053013
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