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Title:Clinical characteristics and outcomes of tympanomastoid paragangliomas : a report from Slovenia
Authors:ID Hribar, Manja (Author)
ID Fošnarič, Iztok (Author)
ID Matos, Aleš (Author)
ID Šifrer, Robert (Author)
ID Grošelj, Aleš (Author)
ID Debeljak, Maruša (Author)
ID Zidar, Nina (Author)
ID Strojan, Primož (Author)
ID Jenko, Klemen (Author)
Files:.pdf PDF - Presentation file, download (6,93 MB)
MD5: 13BE54F84D4A799B6C2DF0FAA530602F
 
URL URL - Source URL, visit https://www.mdpi.com/2072-6694/16/18/3178
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Background: Head and neck paragangliomas are neuroendocrine tumors that typically originate from the parasympathetic nervous system and are predominantly non-secretory. Their clinical manifestations result from their mass effect on the surrounding tissues. The approach to treating these tumors depends on factors such as their location, size, impact on adjacent structures, and the patient’s overall health and preferences. (2) Methods: A retrospective analysis of the management of temporal bone paraganglioma classes A and B (according to the modified Fisch classification) was performed at the University Medical Centre, Ljubljana, between 2011 and 2023. (3) Results: We analyzed 23 cases, 19 of which underwent surgery; complete tumor removal was achieved in 18 of them. Four patients were irradiated due to tumor progression to class C. Three of these four patients initially refused surgery and were treated with radiotherapy (RT) 7, 13, and 18 years after diagnosis. In the fourth patient, complete surgical resection was not achieved and she was treated with RT four years after surgery, due to the growth of the tumor to class C. The average follow-up time from diagnosis was 8.9 years (median 6 years; range 1–26 years). (4) Conclusions: The surgical treatment of patients with class A and B paragangliomas is effective and safe. In cases where surgery is refused but the tumor continues to grow to class C, RT is an alternative and efficient method of controlling tumor growth.
Keywords:paraganglioma, jugulotympanic, tympanic, treatment
Publication status:Published
Publication version:Version of Record
Year of publishing:2024
Number of pages:str. 1-12
Numbering:Vol. 16, no. 18; ǂ[article no.] ǂ3178
PID:20.500.12556/DiRROS-29757 New window
UDC:616-006
ISSN on article:2072-6694
DOI:10.3390/cancers16183178 New window
COBISS.SI-ID:209370371 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 29. 9. 2024;
Publication date in DiRROS:04.06.2026
Views:36
Downloads:16
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Record is a part of a journal

Title:Cancers
Shortened title:Cancers
Publisher:MDPI
ISSN:2072-6694
COBISS.SI-ID:517914137 New window

Document is financed by a project

Funder:Other - Other funder or multiple funders
Funding programme:Univerzitetni klinični center Ljubljana
Project number:20240278
Name:Pregled obravnave ter oblikovanje klinične poti in baze podatkov za bolnike s paragangliomi glave in vratu

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:P3-0307-2019
Name:Rak glave in vratu - analiza bioloških značilnosti in poskus izboljšanja zdravljenja

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License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

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