Case Report: Carotid body paraganglioma in a 20-year-old woman: multimodal imaging, vessel-preserving surgical excision, and long-term clinical follow-up - Report - MDSpire

Case Report: Carotid body paraganglioma in a 20-year-old woman: multimodal imaging, vessel-preserving surgical excision, and long-term clinical follow-up

  • By

  • Weixu Zhou

  • Dong Chen

  • Xianwei Wang

  • July 1, 2026

  • 0 min

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Clinical Report: A 20-Year-Old Female with Carotid Body Paraganglioma

Background

Carotid body paragangliomas are rare neuroendocrine tumors that typically present as painless neck masses. Their occurrence in young adults is uncommon.

Data Highlights

Multimodal imaging techniques including ultrasonography, CTA, MRI, and DSA were utilized for diagnosis. Surgical excision achieved grossly complete removal while preserving surrounding vascular structures.

Key Findings

  • The patient presented with a painless left lateral neck mass that had been enlarging over 5 years.
  • Imaging confirmed a hypervascular mass at the left carotid bifurcation.
  • Surgical excision was performed with preservation of the carotid arteries and cranial nerves.
  • Histopathology confirmed the diagnosis of carotid body paraganglioma.
  • Postoperative follow-up showed no recurrence-related symptoms or significant vascular abnormalities.

Clinical Implications

This case highlights the importance of multimodal imaging in the diagnosis and surgical planning of carotid body paragangliomas.

Conclusion

The case illustrates the management of carotid body paraganglioma in a young patient, emphasizing the role of comprehensive imaging and careful surgical technique.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Gwon et al., Identifying Stroke Risk Factors Associated with Surgical Intervention for Carotid Body Tumors, 2011 -- Title
  3. Journal of Neuro-Oncology, 2024 -- Intracranial Angioleiomyoma: A Review of Seven Patient Cases and Literature Insights
  4. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Evaluating Pediatric Patients with Potential Pheochromocytoma or Paraganglioma in Comparison to Neuroblastoma
  5. UK National Multidisciplinary Guidelines, 2024 -- Head and Neck Cancer
  6. S0022215123001615jed 1..224
  7. Role of Preoperative Embolization in Surgical Management of Carotid Body Tumors: A Systematic Review and Meta-Analysis - Merve Gizem Kaya, Silvia Romagnoli, Tim J. Mandigers, Daniele Bissacco, Maurizio Domanin, Alberto Settembrini, Santi Trimarchi, 2025

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