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Paraganglia are clusters of cells originating from the neural crest with histological and cytochemical characteristics of neuroendocrine cells. It is mostly asymptomatic in early presentation but become symptomatic and difficult to manage when the tumor is large. We present a case of a 26-year-old male who presented with a painless, pulsatile, progressively increasing left lateral neck swelling of 5\u2009years duration with Shamblin IIIa. The diagnosis of the tumor was confirmed based on clinical features, histology, and radiological findings. We had difficult surgical dissection of the tumor with neurovascular damage.<\/jats:p>","DOI":"10.1155\/2024\/9963521","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T23:35:07Z","timestamp":1714433707000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Challenges in the Management of Massive Carotid Body Tumor"],"prefix":"10.1155","volume":"2024","author":[{"given":"Oluwapelumi","family":"Olusoga-Peters","sequence":"first","affiliation":[{"name":"Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9349-0330","authenticated-orcid":true,"given":"Moses Ayodele","family":"Akinola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Ifeanyi","family":"Nwadiokwu","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Oguntade","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"doi-asserted-by":"publisher","key":"1","DOI":"10.1080\/08998280.2016.11929343"},{"doi-asserted-by":"publisher","key":"2","DOI":"10.3941\/jrcr.v13i8.3681"},{"doi-asserted-by":"publisher","key":"3","DOI":"10.15761\/vdt.1000136"},{"doi-asserted-by":"publisher","key":"4","DOI":"10.1016\/j.jamcollsurg.2003.08.024"},{"doi-asserted-by":"publisher","key":"5","DOI":"10.1016\/0002-9610(71)90436-3"},{"doi-asserted-by":"publisher","key":"6","DOI":"10.1007\/s00405-005-0968-4"},{"issue":"12","key":"7","first-page":"14121","article-title":"Diagnosis and treatment of carotid body tumors","volume":"13","author":"J. 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