The peak age of the disease was 41-70 years old. Most of the patients were female, and the growth was slow. The course of the disease ranged from 1 month to 28 years.
In the latter group, the brain nerves were mainly involved. The disease belongs to benign tumor, but because of its special location and rich blood supply, the tumor may invade the surrounding structures when it is large, showing malignant potential.
Guilol and rosenwasser (1940) first reported the surgical resection of glomus jugulare tumor. However, due to the rich blood supply of tumor tissue and the complex local anatomy, it is difficult to remove the tumor.
The tumor invades eustachian tube and grows along the trachea or internal carotid artery. It may enter petrous apex, cavernous sinus and middle cranial fossa. It may cause facial numbness and other symptoms.
3. How to diagnose jugular arterioma 3.1. The jugular foramen can be seen in X-ray plain film of the head with enlarged bone foramen and bone destruction. When the tumor is large, there may be bone changes in petrous apex, middle cranial fossa, foramen magnum and internal auditory canal.
The bone destruction near the tumor was better than X-ray.
The tumor showed equal T1 and long T2 signal, irregular contour, obvious enhancement and clear boundary after injection.
Radiotherapy alone is mainly suitable for the patients who are old and frail, have serious diseases of other organs and can not bear the impact of surgery.
3. In order to prevent the risk of hypertensive crisis in the operation of functional glomus jugulare tumor, we should check the function of the heart and vascular system before operation, pay attention to whether there are hypertension, heart disease and other diseases, measure the concentration of vanillic acid (VAM), trimethyl adrenaline, catecholamine and 5-hydroxytryptamine in 24 hours urine, and stop taking catecholamines 3 days before operation to prevent false positive.
发病高峰年龄为41～70岁,女性多见,多为单发,生长缓慢,病程从1个月到28年不等。The peak age of the disease was 41-70 years old. Most of the patients were female, and th
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