case_images: PMC11669992_01
case_images: Coronal, sagittal, and axial images showing the 3.6 x 3.5 cm mass splaying the left internal and left external carotid arteries.
case_images: rjae811f1.jpg
case_images: PMC11669992_01_rjae811f1.jpg
case_images: f1
case_images: A CT scan of the neck and chest was ordered, which revealed a lobulated left cervical mass measuring up to 3.6 cm (Fig. 1).
case_images: (a) Left neck exposure showing the adhered carotid body tumor. (b) Once the tumor was excised. (c) After patch angioplasty occurred.
case_images: rjae811f2.jpg
case_images: PMC11669992_01_rjae811f2.jpg
case_images: f2
case_images: At the posterior aspect of the left carotid bifurcation, the tumor was densely adherent to the arterial wall, and a portion of the carotid wall was taken with the tumor (Fig. 2).
case_images: One hour after 5.4 millicurie of fludeoxyglucose injected this shows a CT scan followed up by PET scan. No suspicious focal activity was noted. Physiologic activity was noted in the right parotid/salivary glands minimally on the left mandibular gland, and bilateral thyroid, more on the right thyroid. Otherwise, no abnormal uptake was noted in the left neck. Presumed postop changes were seen in the left neck.
case_images: rjae811f3.jpg
case_images: PMC11669992_01_rjae811f3.jpg
case_images: f3
case_images: SDHB variant associated with hereditary paraganglioma-pheochromocytoma syndrome. She additionally underwent a PET scan, which revealed a left level II-B lesion (Fig. 3), consistent with metastatic neuroendocrine disease.