Hernández LE, Enríquez VME, Rodríguez JOA

Language: Spanish
References: 9
Page: 82-87
PDF size: 585.03 Kb.

ABSTRACT

Objective: To determine the correlation between the carotid body tumor and the chronic hypoxaemia in patients of Mexico City, urban zone and peripheral cities were the height is greater to 2000 m at level of the sea.
Material and methods: Design: retrospective, cross sectional, descriptive, observational, ope ned study, in patients who underwent resection of carotid body tumor in the HECMR in the pe riod of the 2001 2008; from the clinical file obtained the result of the preoperating arterial blood gas and the dimensions of the tumor. Statistical analysis: R of Spearman.
Results: A sample of 36 was met, the predominant sort was the feminine one (97.2%); the average age was 53 years. One patient presented a Shamblin’s I tumor (2.7%), 26 Shamblin’s II tumor (76.2%) and nine Shamblin’s III tumor (25%). Seven patients presented chronic hypoxaemia (19.4%), of which six corresponded to the group of Shamblin’s II tumors (16.6%) and one patient to the group Shamblin’s III tumor (2.7%). In the statistical analysis was not significant correlation between the size of paraganglioma and the chronic hypoxaemia (p = 0.52).
Conclusion: 80.6% of the patients presented normal values of oxygen saturation. The correlation between the carotid body tumor and the chronic hypoxaemia does not exist, the correlation between the size of the carotid body tumor and the chronic hypoxaemia does not exist.

REFERENCES

1. Rutherford R. Rutherford Cirugía Vascular. 6a Ed. Madrid, España: Elsevier España; 2006.

2. Torres FP, Gómez FA, Guzmán CP, Mendoza JP, Labastida SA. Tumor de cuerpo carotídeo. Análisis de 96 casos. Rev Invest Clin 1991; 43: 119-23.

3. Meyer FB, Sundt TM, Pearson BW. Carotid body tumors: A subject review and suggested surgical approach. J Neurosurg 1986; 64: 377-85.

4. Frey CF, Karoll RP. Management of chemodectomas. Am J Surg 1966; 111: 536.

5. Shamblin WR, ReMine WH, Sheps SG. Carotid body tumor (chemodectoma): Clinicopathologic analysis of ninety cases. Am J Surg 1971; 122: 732.

6. Edwards C, Heath P, Harris P. The carotid body in animals at high altitude. J Path 1970; 104; 231-38.

7. Rodríguez SC, López-Garza J, Labastida-Almendaro S. Carotid body tumors in habitants of altitudes higher than 2000 meters above sea level. Head Neck 1988; 20: 374-8.

8. Pérez PR. La hipoxemia de los habitantes en la cuidad de México. Rev Inst Nal Enf Resp Mex 1997; 10: 153-4.

9. Enríquez-Vega E, Velasco Ortega C, Cruz Castillo E. Saturación de oxígeno en pacientes con tumor de cuerpo carotídeo. Rev Mex Angiol 2003; 31: 68-71.