頭蓋底部に広汎な進展をきたしたglomus tumorの1例—手術的治療法の経験

Surgical Treatment for a Glomus Jugulare Tumor:Report of a Case Growing Extensively

　極度に進展したglomus tumorに対しては，一般には外科的療法を避け放射線治療が行なわれている．しかし，脳幹部圧迫をきたし，脳圧亢進症状を呈した末期のglomus tumorに対する放射線治療の効果は，あまり期待できないと思われる．事実放射線療法によっては，脳幹部への圧迫が改善されず，死亡した症例がBickerstaffにより報告されている^2），われわれは後頭蓋窩より中頭蓋窩へと広汎な進展をきたし，多彩な神経学的症候を示す巨大なglomus jugulare tumorに対し，手術的治療法を施行し，神経学的症状の著明な改善をうることができた1例を経験したので，文献的考察を加え報告する．

A forty-one-year old man noticed a mass of chestnut size in the right side of his neck in 1963. He also had tinnitus and hearing loss on the right side as well as vertigo. The tongue was deviated to the right. In 1965 a ligation of the right carotid artery was performed in a hospital. Because of development of signs of increased intracranial pressure in addition to extensive involvement of the right cranial herves, he was admitted to our department in July 1972. On achnission a large firm mass could be palpated in the right retropharyngeal area intraorally.