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Acta medica Medianae
2019, vol. 58, br. 3, str. 97-101
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.5633/amm.2019.0314
Creative Commons License 4.0
Glomus tympanicum paragangliom kod 63 godine starog muškarca - redak entitet srednjeg uva - prikaz slučaja
aKlinički Centar Niš, Centar za radiologiju, Niš + Univerzitet u Nišu, Medicinski fakultet, Niš
bUniverzitet u Nišu, Medicinski fakultet, Niš + Klinički Centar Niš, Centar za patologiju i patološku anatomiju, Niš
cUniverzitet u Nišu, Medicinski fakultet
dUniverzitet u Nišu, Medicinski fakultet, Niš + Klinički centar Niš, Klinika za bolesti uva, grla i nosa, Niš

e-adresa: fpetrovic91@gmail.com

Sažetak

Glomus tympanicum paragangliomi potiču od glomus tela lokalizovanih duž timpanične grane glosofaringealnog nerva (Jacobsonov nerv). Iako su glomus tympanicum tumori najčešće primarne neoplazme srednjeg uva, ovi tumori najređi su paragangliomi regije glave i vrata. U najvećem broju slučajeva ovi benigni tumori imaju spor rast, ali mogu biti lokalno agresivni. Prezentujemo slučaj malog glomus tympanicum paraganglioma kod 63 godine starog bolesnika muškog pola, sa jednogodišnjom istorijom puslatilnog tinitusa i osećajem punoće u uvu, kao i sa oslabljenjem sluha. Otoskopija je pokazala puslatilnu crvenu masu iza timpanične membrane kao i Brownov znak. Imidžing je pokazao masu srednjeg uva na kohlearnom promontorijumu sa izraženim postkontrastnim pojačanjem. Poznavanje kliničke prezentacije, imidžing karakteristika, kao i diferencijalne dijagnoze masa srednjeg uva, neophodni su za postavljanje tačne dijagnoze. Ovaj slučaj pokazuje glomus tympanicum paragangliom malih dimenzija sa tipičnim kliničkim i imidžing karakteristikama. Imidžing i imidžing klasifikacije igraju najvažniju ulogu u dijagnostičkom i terapijskom planiranju kod bolesnika sa glomus tympanicum paragangliomima.

Ključne reči

glomus tympanicum paragangliom; imidžing; klasifikacija

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