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Tumor del glomus yugular - Treatment

Nombres alternativos

Paraganglioma del glomo yugular

Tratamiento:

Los tumores del glomus yugular rara vez son cancerosos y no tienden a diseminarse a otras partes del cuerpo. Sin embargo, es posible que se necesite un tratamiento para aliviar los síntomas. El tratamiento principal es la cirugía. La operación es compleja y por lo regular la realiza tanto un neurocirujano como un cirujano de cabeza y cuello (neurotólogo).

En algunos casos, se lleva a cabo un procedimiento llamado embolización antes de la cirugía para evitar que el tumor sangre demasiado durante la intervención quirúrgica.

Después de la cirugía, se puede utilizar radioterapia para tratar cualquier parte del tumor que no se haya podido extirpar completamente.

Algunos tumores glómicos se pueden tratar con radiocirugía estereotáctica.

Pronóstico:

Los pacientes que se someten a cirugía o radiación tienden a recuperarse y más del 90% de las personas con estos tumores se cura.

Posibles complicaciones:

Las complicaciones más comunes se deben al daño neurológico que puede ser causado por el tumor mismo o por daño durante la cirugía. El daño neurológico puede llevar a:

  • Cambio en la voz
  • Dificultad para deglutir
  • Hipoacusia
  • Parálisis facial

Cuándo contactar a un profesional médico:

Consulte con el médico si:

  • Está presentando dificultades para escuchar o para deglutir
  • Presenta pulsaciones en el oído
  • Nota una protuberancia en el cuello
  • Nota cualquier problema con los músculos faciales
  • Reviewed last on: 2/1/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Seth Schwartz MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Rucker JC. Cranial neuropathies. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 74.

Marsh M, Jenkins H. Temporal bone neoplasms and lateral cranial base surgery. In: Cummings CW, Flint PW, Haughey BH, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St Louis, Mo: Mosby; 2005:chap 162.

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