Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series

Hdl Handle:
http://hdl.handle.net/10147/620771
Title:
Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series
Authors:
Colleran, Gabrielle C; Cronin, Kevin C; Browne, Ann M; Hynes, Niamh; Sultan, Sherif
Citation:
Cases Journal. 2009 Nov 30;2(1):9112
Issue Date:
30-Nov-2009
URI:
http://dx.doi.org/10.1186/1757-1626-2-9112; http://hdl.handle.net/10147/620771
Abstract:
Abstract Background Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. Case report The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. Conclusion Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome.
Language:
en
Local subject classification:
VASCULAR DISEASE

Full metadata record

DC FieldValue Language
dc.contributor.authorColleran, Gabrielle Cen
dc.contributor.authorCronin, Kevin Cen
dc.contributor.authorBrowne, Ann Men
dc.contributor.authorHynes, Niamhen
dc.contributor.authorSultan, Sherifen
dc.date.accessioned2016-09-30T11:19:07Z-
dc.date.available2016-09-30T11:19:07Z-
dc.date.issued2009-11-30-
dc.identifier.citationCases Journal. 2009 Nov 30;2(1):9112en
dc.identifier.urihttp://dx.doi.org/10.1186/1757-1626-2-9112-
dc.identifier.urihttp://hdl.handle.net/10147/620771-
dc.description.abstractAbstract Background Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. Case report The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. Conclusion Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome.en
dc.language.isoenen
dc.subject.otherVASCULAR DISEASEen
dc.titleManagement of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case seriesen
dc.language.rfc3066enen
dc.rights.holderColleran et al; licensee BioMed Central Ltd.en
dc.date.updated2016-04-15T16:04:14Zen
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