Carotid body tumor physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Maria Fernanda Villarreal, M.D. [3]
Overview
Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.
Physical Examination
Patients with carotid body tumor usually appear normal. Physical examination of patients with carotid body tumor is usually remarkable for a palpable, painless, rubbery mass at the lateral side of the neck.
Appearance of the Patient
- Patients with carotid body tumor usually appear pale or diaphoretic depending on the capacity of the tumor for hormone production.
Vital Signs
- Vital signs are usually normal.
- In case of capability of the tumor for catecholamine production:
- Tachycardia with a regular pulse may be present.
- High blood pressure with normal pulse pressure may be present.
Skin
- Skin examination of patients with carotid body tumor is usually normal.
- Pallor may be present in case of concomitant production of catecholamines by the tumor.
HEENT
- HEENT examination of patients with carotid body tumor is usually normal.
Neck
- Neck examination of patients with carotid body tumor is remarkable for:
Palpation
- Palpable, painless, rubbery mass along the anterior border of the sternocleidomastoid muscle.[1]
- The tumor moves freely in the horizontal plane at a greater extent than in the vertical plane (‘Fontaine’s sign’).
Auscultation
Lungs
- Pulmonary examination of patients with carotid body tumor is usually normal.
Heart
- Cardiovascular examination of patients with carotid body tumor is usually normal.
Abdomen
- Abdominal examination of patients with carotid body tumor is usually normal.
Back
- Back examination of patients with carotid body tumor is usually normal.
Genitourinary
- Genitourinary examination of patients with carotid body tumor is usually normal.
Neurological
- Neurological examination of patients with carotid body tumor is usually normal.
- Cranial nerve palsy may be observed in 10% of the cases. The following nerve palsies may be observed:[3]
- Sympathetic chain involvement may be associated with:
- Horner syndrome
- Shoulder drop
Muscular
Muscular examination of patients with carotid body tumor is usually normal.
Extremities
- Extremities examination of patients with carotid body tumor is usually normal.
References
- ↑ Patetsios, Peter; Gable, Dennis R.; Garrett, Wilson V.; Lamont, Jeffrey P.; Kuhn, Joseph A.; Shutze, William P.; Kourlis, Harry; Grimsley, Bradley; Pearl, Gregory J.; Smith, Bertram L.; Talkington, C.M.; Thompson, Jesse E. (2002). "Management of Carotid Body Paragangliomas and Review of a 30-year Experience". Annals of Vascular Surgery. 16 (3): 331–338. doi:10.1007/s10016-001-0106-8. ISSN 0890-5096.
- ↑ Athanasiou A, Liappis CD, Rapidis AD, Fassolis A, Stavrianos SD, Kokkalis G (July 2007). "Carotid body tumor: review of the literature and report of a case with a rare sensorineural symptomatology". J. Oral Maxillofac. Surg. 65 (7): 1388–93. doi:10.1016/j.joms.2005.12.036. PMID 17577510.
- ↑ Işık, A. Cemal Ümit; İmamoğlu, Mehmet; Erem, Cihangir; Sarı, Ahmet (2007). "Paragangliomas of the Head and Neck". Medical Principles and Practice. 16 (3): 209–214. doi:10.1159/000100392. ISSN 1011-7571.