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Case Report



Une masse hypervasculaire de la région carotidienne: le chémodectome carotidien A hypervascular mass of the carotid space: carotid body tumor

Suzanne Rita Aubin Igombe, Yaotse Elikplim Nordjoe, Raissa Albertine Kaukone Nyare, Fernand Nathan Imoumby, Jamal El Fenni, Abdelaziz Hommadi, Issam En-Naffa, Zamani Ouijdane.




Abstract
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Résumé : Le chémodectome est une tumeur rare développée au dépend des cellules paraganglionnaires de la carotide dont l'étiologie reste inconnue. Nous rapportons le cas d'une patiente de 78 ans chez qui une masse cervicale hypervasculaire au niveau de la région carotidienne a été découverte de façon fortuite au cours d'une TDM du massif facial pour suspicion de cellulite. Le complément par angioscanner cervical a permis de poser le diagnostic de chémodectome carotidien. Le chémodectome carotidien est généralement asymptomatique. L'imagerie et notamment l'angioscanner permet d'en faire le diagnostic. La chirurgie est le seul traitement curatif, toutefois devant les risques élevés de celle-ci la surveillance est souvent de mise.


Abstract: Carotid body paraganglioma is a rare tumour arising from paraganglia cells of the carotid body. The exact cause is unknown. We report the case of a 78-year-old female patient in which a hyper-vascular cervical mass of the carotid region was discovered incidentally during a facial CT for suspicion of cellulitis. A complimentary cervical CT angiography made it possible to diagnose carotid chemodectoma. Carotid chemodectoma is usually asymptomatic. Imaging, particularly CT angiography, can be used to make the diagnosis. Surgery is the only curative treatment. However, given the high risks of surgery, monitoring is often appropriate.

Key words: Chémodectome carotidien, Masse hypervasculaire, Région carotidienne, Angioscanner Carotid body tumour, Hypervascular mass, Carotid space, Computed tomography angiography






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