Pathology
Multiple attempts for biopsy were abandoned after significant hemorrhage, despite the preoperative embolization procedure. This delayed plans for possible combined otolaryngology and neurosurgical approach resection, as the expected diagnosis of paraganglioma, was not confirmed.
Patient subsequently had a successful, uncomplicated biopsy confirmed the diagnosis of paraganglioma. Given the patient’s overall high functionality and the likely associated morbidity of surgery, radiation therapy was recommended in attempts at slowing tumor growth and reducing vascularity.