Has anyone ever had a glomus tumor in the middle ear? If yes, how was it removed? Radiation? Surgery?
Following is the line of treatment:
Medical therapy: Some cases require no treatment. Often, glomus jugulare tumors are diagnosed within the sixth or seventh decade of life and can be followed by imaging only and may not need surgical intervention.
Medical therapy may be indicated in some cases. Alpha-blockers and beta-blockers are useful for tumors secreting catecholamines. They are usually administered for 2-3 weeks before embolization and/or surgery to avoid potentially lethal blood pressure lability and arrhythmias. Successful treatment of pulmonary metastases with etoposide (VP-16) and cisplatin has been described. In a preliminary report, a somatostatin analogue (octreotide) has been successfully used for growth control of somatostatin receptor–positive tumors.
Surgical therapy: Surgery is the treatment of choice for glomus jugulare tumors. Surgical approach depends on the localization and extension of the tumor. Intraoperative monitoring including EEGs and somatosensory-evoked potentials (SSEPs) are routinely used.
Fisch type A tumors can be excised by a transmeatal or perimeatal approach.
Type B tumors require an extended posterior tympanotomy.
Type C tumors require radical resection via a standard combined transmastoid-infratemporal or transtemporal-infratemporal approach with or without ICA trapping, preceded by external carotid artery embolization or superselective embolization. Intraoperatively, temporarily occlude the transverse or sigmoid sinus with EEG monitoring to determine whether vein bypass should be performed for total resection. Surgery leads to therapeutic success in about 90% of patients. Intratumoral injection of cyanoacrylate glue has been proposed to control bleeding.
Large type D tumors need to be treated with a combined otologic and neurosurgical approach. An infratemporal approach with a skull base resection and a posterior fossa exploration are the most advisable in the attempt to remove the entire tumor. Partial resection of the tumor needs to be followed by radiation and follow-up MRI/CT scanning.
Radiation therapy and radiosurgery may be indicated. Both classic fractionated radiation therapy (40-50 Gy) and stereotactic radiosurgery (eg, gamma knife surgery) are successful in long-term control of tumor growth and in decrease of catecholamine excretion in functional tumors; however, the short duration of observation after stereotactic radiosurgery does not allow for definite conclusions. Radiation treatment is advised as the sole treatment modality for elderly or infirm patients who are symptomatic, especially those with extensive or growing tumors.
Gross total resection of some extensive tumors may be extremely difficult and may carry unwarranted risk. In such cases, radiotherapy may be indicated to treat residual tumor following subtotal resection.
Preoperative details: If routine screening for catecholamine is positive (3 times the reference range), alpha-blockers and beta-blockers are administered for 2-3 weeks before surgery and embolization. This helps to avoid blood pressure lability and arrhythmias. In emergent cases, 3 days of treatment is adequate.
Intraoperative details: Surgical approach depends on the localization and extent of the tumor. Fisch type A tumors can be excised by a transmeatal or perimeatal approach. Type B tumors require an extended posterior tympanotomy. Type C tumors require radical resection via a standard combined transmastoid-infratemporal or transtemporal-infratemporal approach with or without ICA trapping, preceded by external carotid artery embolization or superselective embolization. Surgery leads to therapeutic success in about 90% of patients. Treat large type D tumors with a combined otologic and neurosurgical approach. An infratemporal approach with a skull base resection and a posterior fossa exploration are advisable in the attempt to remove the entire tumor.
Postoperative details: Patients usually are in the sixth decade of life; therefore, careful monitoring of cardiac function is advisable, especially if a catecholamine secreting tumor was only partially resected.
Postoperative lower cranial nerve deficits need to be carefully diagnosed, and, when present, early rehabilitation is advocated.
Follow-up care: Radiologic and, when indicated, endocrinologic monitoring for tumor growth or regrowth is indicated every 6 months to 1 year for 2 years and then, depending on the dynamics of the tumor behavior, every 2 years. (+ info
originate in strutures responsible for what?
Pathophysiology: Glomus tumors arise from the arterial portion of the glomus body, or the Sucquet-Hoyer canal, which is an arteriovenous shunt in the dermis that contributes to temperature regulation. Although glomus tumors are thought to arise from glomus cells, these tumors have been observed in extracutaneous locations that are not known to contain glomus cells. One explanation for this finding is that these tumors may arise from perivascular cells that can differentiate into glomus cells. Multiple glomus tumors, especially the disseminated variant, are inherited in an autosomal-dominant pattern with incomplete penetrance (+ info
Do you know how much does it cost to have a brain surgery to remove glomus jugulare tumor?
My husband have a Glomus Jugulare tumor. We are waiting for John Hopkins to call us. I don't know much about it and what to expect. Does anyone had this tumor?
My prayers go out to your husband.
I have a feeling you are not looking to go to India to have surgery, and you seem committed to having it at Johns Hopkins, a world-renowned medical facility. You should have a good sit-down with an administrator there, as well as your own insurance agent to see how much your policy will pay.
Brain surgery is not cheap. If you go to the source below, a man there claimed he spent three quarters of a million dollars, and he had to stay in the hospital for about six weeks.
Brain surgeons live mostly in mansions, so don't expect the doctors' fees to be cheap. You also might want to consider a supplemental plan to help you with deductibles and/or co-payments.
God bless your husband. I hope he recovers quickly. (+ info
What are the proper procedure to know if a person have a Glomus tumor on her ring finger?
my cousin had her surgery last Aug last year, and the pain is still there and sometimes, the pain radiates up to her arm . Is it posible that the orthopedic surgeon did not successfully got the tumor?
2 possibilities. 1 is that the entire tumor wasn't removed which is certainly possible. 2 is that your cousin has a rare condition of multiple familial glomus tumors which would be bad luck and multiple surgeries maybe required. In either case she should go back to the surgeon and get re-examined as the prognosis is different for these 2 scenarios. (+ info
what kind of specialist or doctor would I consult about glomus tumor?
An oncologist (cancer specialist) (+ info
Can you tell me about Glomus tumor at any part of the finger? How to be cured if you are diagnosed wth it?
Glomus tumor is a rare benign tumor, it is also called glomangioma . Glomus tumor is usually found in the extremities, toes, fingers , especially under finger nails. It rises from the glomus body ( glomus body belongs to the dermis of the skin where ateriovenous anatomosis present ( a network to numerous arterioles and veins ) . This acts to shunt blood away from the exposing to cold weather to prevent heat loss.)
Glomus tumor is often small and painful especially the pain is signified under cold environment ( avoid cold water, cold weather ) Radiation therapy or surgery can be done to remove the tumor.
hope that will help (+ info
A glomus Tumor?
Im not sure if my grandmother has this or not....But she has a lump/bump thing on her head....She also has knotty things in her throut.....I'm not sure if it is a glomus tumor though......She gets frequent head aches and stuff like that...Is This a glomus tumor.....If so is it removable......
Backround info bout my grandmother:
Is this curable.......does it have painful recovery......plz i need answers.
What makes you think it might be a glomus tumor? Glomus tumors usually affect the hands or feet (or fingers and toes) and are frequently cause intermittent pain.
I suppose it conceivable that she has a glomus tumor, but it would not be first on my list of possibilities. (+ info
Need information about the treatment of Glomus jugulare tumor?
I live in Delhi, India. Have glomus jugulare tumor (as told by doctors after MRI scan). Due to this not able to hear anything from the left ear. There was already some hearing problem in the right ear, as a result not able to hear anything now.
Can anybody suggest where can i get the treatment for this disease. I read that the tumor would increase over a period of time and would cause further problem like problem in speaking, and in eating since this tumor is very close to the nerve system.
Any concrete information about the treatment for this would be very helpful.
Thanks in advance.
Age is 23 years.
im sorry that u r suffering from this sydrome, though i need nt explain u what is this tumour abt, below u can rea the treatment and other imp things u want to knw....get well soon!!!
Glomus jugulare tumors are rarely cancerous and do not tend to spread to other parts of the body. However, treatment may be needed to relieve symptoms. The main treatment is surgery. Surgery is complex and usually done by both a neurosurgeon and a head and neck surgeon.
In some cases, a procedure called embolization is performed before surgery to shrink the tumor.
After surgery, radiation therapy may be used to treat any part of the tumor that could not be removed completely.
Patients who have surgery or radiation tend to do well. More than 90% of those with glomus jugulare tumors are cured.
The most common complications are due to nerve damage, which may be caused by the tumor itself or damage during surgery. Nerve damage can lead to facial paralysis, hearing loss, and difficulty swallowing. (+ info
Question regarding Glomus Tumor sugery & recovery.?
I recently had surgery to remove a "Glomus Tumor" from underneath my thumbnail. All the surgery consisted of was the doctor bending back my thumbnail and removing the tumor. There were no incisions made anywhere. I have been recovering fine and have not been in any pain until recently. The area between the cuticle and the knuckle has been hurting as well as the underside of the thumb(palm side) and the base of my thumb at the palm. It is a pretty intense throbbing pain, especially when I move my thumb around and is forcing me to take the Lortabs that were prescribed.(I haven't taken many up until now) Has anyone gone through this surgery? I this pain normal? What else can I expect during the recovery?
the pain is due to the healing process and the vasculation ,as it heals nerves get little compressed from oedema and u feel pulsature and pain,.,try lifting the thumb little high,cold water compressions ,and u may suffer a little limitation of movement due to pain ,but it will all resolve with time (+ info
i have a glomus tumor in my thumb HELP!!!! 10Points?
im having it taken out soon and i was wandering how long i should stay of school. im 15 and the tumors in my thumb
I would say that there are a few things that might cause variables in the response--first, how big is this thing? Is it massive, distending the fingernail, or was it caught early? Is it just a single mass, or serveral?
You're probably going to be on painkillers for a few days, so I imagine it's good for a few days out of school.
What I would advise you, though, is to speak to your doctor and find out how soon he or she recommends you resume regular activities.
If you really WANT to go to school, have the doctor/surgeon give you a note instructing your teachers to allow you to limit your activities if you feel a little sketchy, maybe go to the nurse's office for a little lie-down if you aren't feeling up to speed, and of course, get out of gym class.
In any event, your teachers will need to know that you are on painkillers if you do go to school, and of course, nowadays, someone will have to give your drugs to the nurse so you can go down and take them, if you do go to school early.
I'd stay home a day or two at a minimum if I were you--get your homework online. If they can SKYPE you into the classroom from your home, that would be a good thing! (+ info
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Last update: September 2014