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A Vascular Malformation in the Carotid Sheath at the Carotid Bifurcation Mimicking Carotid Body Tumor

机译:在颈动脉分叉模拟颈动脉肿瘤的颈动脉鞘中的血管畸形

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Background: The carotid sheath contains clinically important and vital anatomical neurogenic, vascular, and lymphatic structures that allow for a great variety of lesions. Vascular anomalies found in the carotid sheath are rarely reported and may be easily misdiagnosed as arterial aneurysms, neurogenic tumors, paragangliomas, or lymphatic masses. Method: We present a 60-year-old woman with a vascular malformation arising within the carotid sheath at the right carotid bifurcation, which mimics carotid body tumor. Result: The mass was excised successfully with an uneventful postoperative course, and histological analysis suggested a vascular malformation with thin-walled blood vessels, lined by endothelial cells and separated by fibrous tissue. The patient was in good clinical condition without signs of relapse of the mass at 6-month follow-up. Conclusion: Vascular malformation is a rare but existing possibility of pathology in the carotid sheath, which can be effectively removed by meticulous surgery.
机译:背景:颈动脉鞘含有临床重要性和重要的解剖学神经源性,血管和淋巴结,允许各种病变。在颈动脉鞘中发现的血管异常很少报告,并且可能很容易被误诊为动脉动脉瘤,神经发生肿瘤,伞形血症或淋巴质量。方法:我们在右颈动脉分叉的颈动脉鞘中提出了一名60岁的女性,颈动脉鞘内产生,模仿颈动脉肿瘤。结果:在术后平坦的术后过程中成功地切除了肿块,组织学分析表明血管血管血管畸形,由内皮细胞排列并被纤维组织分离。患者处于良好的临床状态,无需在6个月的随访时间内复发迹象。结论:血管畸形是颈动脉鞘中病理学的罕见但存在的可能性,可以通过细致的手术有效地消除。

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