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Glomus Jugulare Tumors: IV. Therapy

Glomus Jugulare Tumors: IV. Therapy Abstract EXPERIENCE has been my teacher in caring for patients with glomus jugulare tumors. What seemed difficult and trying in my early encounters with tumors confined to the middle ear and mastoid bone was as nothing to the difficulties posed by some of the unsuspected complications noted in my later experiences. The old adage about things never being so bad but that they cannot be worse applies here. Not too long ago I saw a young woman with a mass in the external auditory canal. The mass protruded from a defect in the tympanic membrane. A biopsy was taken and was reported as typical glomus jugulare tumor. This patient had overt signs and symptoms of a brain tumor, ie, papilledema, localizing signs, and positive angiograms delineating a space occupying lesion. She was treated with cobalt 60 teletherapy (5,000 rads in 30 days) and had a remarkable, temporary result with defervescence of References 1. Gejrot, T.; Lagerlof, B.; and Wersall, J.: Tumors of the Glomus Jugulare, A Light and Electron Microscopic Study , Acta Otolaryng (supp 188) , pp 220-226, 1964. 2. Grillo, M.A., and Palay, S.L.: Granule Containing Vesicles in the Autonomic Nervous System, Philadelphia: Fifth International Congress Electron Microscopy, New York: Academic Press, Inc., vol 2, 1962. 3. Bloom, G.: The Fine Structure of Cystome Cardiac Muscle Cells , Z Zellforsch 57:213, 1962.Crossref 4. Lewis, P.R.; Boyd, J.B.; and Lever, J.D.: Observations on the Fine Structure and Histochemistry of the Carotid Body in Cat and Rabbit , Anat J 39:478, 1959. 5. Berdal, P., et al: Noradrenaline-Adrenalin Producing NonChromaffin Paraganglioma , Acta Med Scand 172:249-257 ( (Aug) ) 1962.Crossref 6. Glenner, G.G.; Crout, J.R.; and Roberts, W.C.: A Functioning Carotid Body-Like Tumor , Arch Path 73:230 ( (March) ) 1962. 7. Duke, W.W., et al: A Norepinephrine Secreting Glomus Jugulare Tumor Presenting as a Pheochromocytoma , Ann Intern Med 60:1040 ( (June) ) 1964.Crossref 8. Grubb, W.B., Jr., and Lampe, I.: The Role of Radiation Therapy in the Treatment of Chemodectoma of the Glomus Jugulare , Laryngoscope 75:1861 ( (Dec) ) 1965.Crossref 9. Shambaugh, G.E., Jr.: Surgical Approach for So-Called Glomus Jugulare Tumors of the Middle Ear , Laryngoscope 65:185-198 ( (April) ) 1955.Crossref 10. Shapiro, M.J., and Neues, G.K.: Technique for Removing Glomus Jugulare Tumors , Arch Otolaryng 79:219 ( (March) ) 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Glomus Jugulare Tumors: IV. Therapy

Archives of Otolaryngology , Volume 88 (1) – Jul 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010018006
Publisher site
See Article on Publisher Site

Abstract

Abstract EXPERIENCE has been my teacher in caring for patients with glomus jugulare tumors. What seemed difficult and trying in my early encounters with tumors confined to the middle ear and mastoid bone was as nothing to the difficulties posed by some of the unsuspected complications noted in my later experiences. The old adage about things never being so bad but that they cannot be worse applies here. Not too long ago I saw a young woman with a mass in the external auditory canal. The mass protruded from a defect in the tympanic membrane. A biopsy was taken and was reported as typical glomus jugulare tumor. This patient had overt signs and symptoms of a brain tumor, ie, papilledema, localizing signs, and positive angiograms delineating a space occupying lesion. She was treated with cobalt 60 teletherapy (5,000 rads in 30 days) and had a remarkable, temporary result with defervescence of References 1. Gejrot, T.; Lagerlof, B.; and Wersall, J.: Tumors of the Glomus Jugulare, A Light and Electron Microscopic Study , Acta Otolaryng (supp 188) , pp 220-226, 1964. 2. Grillo, M.A., and Palay, S.L.: Granule Containing Vesicles in the Autonomic Nervous System, Philadelphia: Fifth International Congress Electron Microscopy, New York: Academic Press, Inc., vol 2, 1962. 3. Bloom, G.: The Fine Structure of Cystome Cardiac Muscle Cells , Z Zellforsch 57:213, 1962.Crossref 4. Lewis, P.R.; Boyd, J.B.; and Lever, J.D.: Observations on the Fine Structure and Histochemistry of the Carotid Body in Cat and Rabbit , Anat J 39:478, 1959. 5. Berdal, P., et al: Noradrenaline-Adrenalin Producing NonChromaffin Paraganglioma , Acta Med Scand 172:249-257 ( (Aug) ) 1962.Crossref 6. Glenner, G.G.; Crout, J.R.; and Roberts, W.C.: A Functioning Carotid Body-Like Tumor , Arch Path 73:230 ( (March) ) 1962. 7. Duke, W.W., et al: A Norepinephrine Secreting Glomus Jugulare Tumor Presenting as a Pheochromocytoma , Ann Intern Med 60:1040 ( (June) ) 1964.Crossref 8. Grubb, W.B., Jr., and Lampe, I.: The Role of Radiation Therapy in the Treatment of Chemodectoma of the Glomus Jugulare , Laryngoscope 75:1861 ( (Dec) ) 1965.Crossref 9. Shambaugh, G.E., Jr.: Surgical Approach for So-Called Glomus Jugulare Tumors of the Middle Ear , Laryngoscope 65:185-198 ( (April) ) 1955.Crossref 10. Shapiro, M.J., and Neues, G.K.: Technique for Removing Glomus Jugulare Tumors , Arch Otolaryng 79:219 ( (March) ) 1964.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jul 1, 1968

References

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