Growth Rate Analysis of an Untreated Glomus Vagale on MRI

Paragangliomas are slow growing, hypervascular neuroendocrine tumors that develop in the extra-adrenal paraganglion tissues. Paraganglioma involving the vagus nerve ganglia is termed glomus vagale. The slow growth of head and neck paragangliomas especially in the absence of symptom may obviate the n...

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Main Authors: Jeffrey Tzu-Yu Wang, Allen Yu-Yu Wang, Sheila Cheng, Lavier Gomes, Melville Da Cruz
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/8756940
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author Jeffrey Tzu-Yu Wang
Allen Yu-Yu Wang
Sheila Cheng
Lavier Gomes
Melville Da Cruz
author_facet Jeffrey Tzu-Yu Wang
Allen Yu-Yu Wang
Sheila Cheng
Lavier Gomes
Melville Da Cruz
author_sort Jeffrey Tzu-Yu Wang
collection DOAJ
description Paragangliomas are slow growing, hypervascular neuroendocrine tumors that develop in the extra-adrenal paraganglion tissues. Paraganglioma involving the vagus nerve ganglia is termed glomus vagale. The slow growth of head and neck paragangliomas especially in the absence of symptom may obviate the necessity for any active intervention, in which case, a “wait and scan” policy is implemented involving long-term clinical and radiologic follow-ups. We present a case of a 71-year-old female with an untreated left glomus vagale who underwent a conservative “wait and rescan” plan of management and the tumor was observed with 8 serial MRI scans over a period of 7.4 years. A growth rate analysis was conducted which demonstrated a slow growth. A literature review of radiologic studies examining the natural history of head and neck paragangliomas was also performed.
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issn 2090-6765
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publishDate 2016-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-83f44bcb67c94f70bb99db0e8ff0d0232025-02-03T01:04:49ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/87569408756940Growth Rate Analysis of an Untreated Glomus Vagale on MRIJeffrey Tzu-Yu Wang0Allen Yu-Yu Wang1Sheila Cheng2Lavier Gomes3Melville Da Cruz4Department of Radiology, Westmead Hospital, University of Sydney, Sydney, NSW 2145, AustraliaDepartment of Otolaryngology, Westmead Hospital, University of Sydney, Sydney, NSW 2145, AustraliaDepartment of Radiology, Westmead Hospital, University of Sydney, Sydney, NSW 2145, AustraliaDepartment of Radiology, Westmead Hospital, University of Sydney, Sydney, NSW 2145, AustraliaDepartment of Otolaryngology, Westmead Hospital, University of Sydney, Sydney, NSW 2145, AustraliaParagangliomas are slow growing, hypervascular neuroendocrine tumors that develop in the extra-adrenal paraganglion tissues. Paraganglioma involving the vagus nerve ganglia is termed glomus vagale. The slow growth of head and neck paragangliomas especially in the absence of symptom may obviate the necessity for any active intervention, in which case, a “wait and scan” policy is implemented involving long-term clinical and radiologic follow-ups. We present a case of a 71-year-old female with an untreated left glomus vagale who underwent a conservative “wait and rescan” plan of management and the tumor was observed with 8 serial MRI scans over a period of 7.4 years. A growth rate analysis was conducted which demonstrated a slow growth. A literature review of radiologic studies examining the natural history of head and neck paragangliomas was also performed.http://dx.doi.org/10.1155/2016/8756940
spellingShingle Jeffrey Tzu-Yu Wang
Allen Yu-Yu Wang
Sheila Cheng
Lavier Gomes
Melville Da Cruz
Growth Rate Analysis of an Untreated Glomus Vagale on MRI
Case Reports in Otolaryngology
title Growth Rate Analysis of an Untreated Glomus Vagale on MRI
title_full Growth Rate Analysis of an Untreated Glomus Vagale on MRI
title_fullStr Growth Rate Analysis of an Untreated Glomus Vagale on MRI
title_full_unstemmed Growth Rate Analysis of an Untreated Glomus Vagale on MRI
title_short Growth Rate Analysis of an Untreated Glomus Vagale on MRI
title_sort growth rate analysis of an untreated glomus vagale on mri
url http://dx.doi.org/10.1155/2016/8756940
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