PMC5358956_01
CT-scan of the neck showing a mass arising 2 cm above the carotid bifurcation, displacing internal and external carotid arteries.
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CT-scan showed a round, homogeneous mass of 1.5 cm extending for 1.5 cm in height and depth, arising 1 cm distally to the carotid artery bifurcation apparently adherent to both ICA and ECA, suggestive of chemodectoma (Fig. 1).
Intraoperative picture showing a mass arising from the descending loop of the hypoglossal nerve displacing, but not adhering to the internal and external carotid arteries (A). The surgical field after curative resection and functional lymphadenectomy (B). The resected specimen together with latero-cervical lymphatics (C).
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ECA. En bloc resection of the mass together with the descending branch of the hypoglossal nerve and a functional neck lymphadenectomy was performed (Fig. 2).