Bilateral carotid body tumour

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Bilateral cervical painless swelling in a patient known for Graves disease.

Patient Data

Age: 50 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
C+ portal
venous phase
This study is a stack
3D-VR
This study is a stack
C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Bilateral well-defined upper cervical soft tissue mass, isodense to the muscles with vivid enhancement on postcontrast images, splaying the internal and external carotid arteries (lyre sign).

Diffusely enlarged thyroid gland with heterogeneous enhancement (known Graves disease).

Case Discussion

CT appearance of carotid body tumour (also called a chemodectoma or carotid body paraganglioma).

Carotid body tumours are the most common type of paraganglioma of the head and neck (account for 60-70%) and are bilateral in approximately 10% of cases (as in this case).

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