Treatment Of Glomus Jugulare Tumors Research Articles

Selection of therapy of glomus jugulare tumors.

THE TREATMENT of glomus jugulare tumors will depend upon the size of the tumor at diagnosis, the amount of destruction the tumor has produced, and the accessibility of the tumor. The treatment modalities are limited, and consist of surgery, radiation therapy, and cryotherapy. Analysis of the results of treatment seem to indicate that optimum results are achieved by variations in extent of the surgery and combinations of modalities. Analysis of Cases The following observations regarding the selection of therapy were drawn from an analysis of the University of Michigan series of 32 cases by the authors when each was at that institution, and a further nine cases in the past three years at the University of Iowa. Observations on the symptomatology of the tumors and their extent at operation and on x-ray film studies are based on the entire series of 45. The results of treatment are based only upon

Glomus Jugulare Tumors: V. Newer Diagnostic Procedures in Therapy

TUMORS which enlarge concentrically and erode the bony floor of the middle ear cavity may invade the cochlea and compress or invade the dome of the jugular bulb. This has been demonstrated graphically by Gejrot and Hamberger 1 and others by using retrograde jugularography. Prior to their popularizing retrograde jugularography, it was recognized that there might be only a small tumor in the middle ear cavity and an equal or larger sized tumor invading the bulb area. This possibility always troubled the thoughtful experienced otologist, and therefore, I welcome any measure which may help to present the entire picture before operation. I reiterate that the successful management of these tumors depends on early recognition of the tumors before widespread destruction takes place. Gejrot and Lauren, 2 in a recent discussion of the surgical treatment of glomus jugulare tumors, stated that it was essential to perform retrograde jugularography preoperatively contending that