Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fruhmann, J; Geigl, JB; Konstantiniuk, P; Cohnert, TU.
Paraganglioma of the Carotid Body: Treatment Strategy and SDH-gene Mutations.
Eur J Vasc Endovasc Surg. 2013; 45(5):431-436
Doi: 10.1016/j.ejvs.2013.01.018
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- Führende Autor*innen der Med Uni Graz
- Mühlsteiner Johanna
- Co-Autor*innen der Med Uni Graz
- Cohnert Tina Ulrike
- Geigl Jochen Bernd
- Konstantiniuk Peter
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- Abstract:
- Objectives: The aim of the present study was to review treatment results in patients with paraganglioma (PGL) of the neck presenting as carotid body tumour, long-term follow-up and relevance of genetic testing for succinate dehydrogenase (SDH)-gene mutations. Design: Retrospective analysis of prospectively collected data and prospective genetic analysis. Materials and Methods: Over a 25-year period (1987-2011) 50 patients were operated for 63 PGLs of the neck. Pre-, intra- and postoperative findings were analysed. Sanger sequencing was performed for genetic testing of SDH-gene mutations (SDH B, SDHC and SDHD). Results: Fifty patients underwent resection of 63 PGLs (62 benign, one malignant) without mortality. Eight patients underwent preoperative embolisation. Vascular surgical procedures were required in 15 operations (15/63 = 23.8%). Nerve lesions occurred after 13 operations (13/63 = 20.6%) and were associated with large tumours. A total of 44 patients are alive after a mean follow-up of 9.8 years. In 40 patients 17 SDH-gene mutations were detected (17/40 = 42.5%): 14 SDHD mutations, two SDHB Mutations and one rare SDHC mutation. Conclusion: Surgery for PGL is recommended. All PGL patients should be screened for SDH mutations because it impacts the individual follow-up strategy. Whereas all PGL patients require annual ultrasound control, mutation carriers and family members with proven mutations should in addition be regularly examined by magnetic resonance imaging (MRI) of head, neck, thorax, abdomen and pelvis. (C) 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Aged, 80 and over -
- Carotid Body Tumor - genetics Carotid Body Tumor - surgery
- Female -
- Humans -
- Male -
- Middle Aged -
- Mutation -
- Retrospective Studies -
- Succinate Dehydrogenase - genetics
- Vascular Surgical Procedures - methods
- Young Adult -
- Find related publications in this database (Keywords)
- Paraganglioma
- Carotid body tumour
- Surgery
- Succinate dehydrogenase
- Mutation