{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T08:30:55Z","timestamp":1769070655364,"version":"3.49.0"},"reference-count":17,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  O tumor gl\u00f4mico \u00e9 uma neoplasia benigna rara originada de c\u00e9lulas paraganglionares da crista neural que se desenvolve na camada advent\u00edcia do vaso. S\u00e3o tumores n\u00e3o encapsulados e altamente vascularizados. Paciente feminina, 64 anos, foi diagnosticada com tumor gl\u00f4mico hipervascularizado com 5 cm posteriormente \u00e0 bifurca\u00e7\u00e3o carot\u00eddea esquerda e oclus\u00e3o de car\u00f3tida contralateral. Optou-se por realizar emboliza\u00e7\u00e3o atrav\u00e9s de acesso endovascular seguida de pun\u00e7\u00e3o percut\u00e2nea direta, guiada por angiografia, para preenchimento da \u00e1rea remanescente. Ap\u00f3s emboliza\u00e7\u00e3o, realizou-se a ex\u00e9rese cir\u00fargica do tumor com menor sangramento e maior facilidade para encontrar o plano de clivagem das estruturas adjacentes. Em acompanhamento tardio, a paciente apresenta-se sem recidiva tumoral. O tumor foi classificado como pertencente ao grupo Shamblin II, o qual inclui tumores apresentando de 4 a 6 cm com inser\u00e7\u00e3o arterial moderada. Atrav\u00e9s dessa dupla abordagem, foi poss\u00edvel notar uma redu\u00e7\u00e3o relativa do sangramento intraoperat\u00f3rio e facilita\u00e7\u00e3o de identifica\u00e7\u00e3o do plano de clivagem, colaborando para sua ex\u00e9rese e evitando o pin\u00e7amento cir\u00fargico.<\/jats:p>","DOI":"10.1590\/1677-5449.012218","type":"journal-article","created":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T13:55:40Z","timestamp":1550843740000},"source":"Crossref","is-referenced-by-count":4,"title":["Cirurgia h\u00edbrida na ex\u00e9rese de tumor gl\u00f4mico Shamblin II"],"prefix":"10.1590","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4008-4029","authenticated-orcid":false,"given":"Alexandre Campos Moraes","family":"Amato","sequence":"first","affiliation":[{"name":"Instituto de Medicina Avan\u00e7ada,  Brasil; Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Daniel Gomes","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Teixeira Fonseca da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marielly Ayako","family":"Uemura","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thais de Oliveira","family":"Stucchi","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Virg\u00ednio dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de Santo Amaro,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"2","key":"ref1","first-page":"88","article-title":"Cervical paragangliomas: single centre experience with 44 cases","volume":"35","author":"Ferrante AM","year":"2015","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s13193-013-0249-4","article-title":"Paragangliomas of the carotid body: current management protocols and review of literature","volume":"4","author":"Naik SM","year":"2013","journal-title":"Indian J Surg Oncol"},{"issue":"2-A","key":"ref3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1590\/S0004-282X2000000200019","article-title":"Tumores do corpo carot\u00eddeo: revis\u00e3o de oito casos e abordagem cir\u00fargica","volume":"58","author":"Sousa AA","year":"2000","journal-title":"Arq Neuropsiquiatr"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3171\/jns.1986.64.3.0377","article-title":"Carotid body tumors: a subject review and suggested surgical approach","volume":"64","author":"Meyer FB","year":"1986","journal-title":"J Neurosurg"},{"issue":"2","key":"ref5","first-page":"158","article-title":"Carotid body tumor (paraganglioma): report of two cases treated surgically","volume":"15","author":"Mesquita Jr N","year":"2016","journal-title":"J Vasc Bras"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1024\/0301-1526\/a000149","article-title":"Results of combined preoperative direct percutaneous embolization and surgical excision in treatment of carotid body tumors","volume":"40","author":"Sahin MA","year":"2011","journal-title":"Vasa"},{"issue":"6","key":"ref7","first-page":"371","article-title":"Subungual glomus tumors: imaging findings","volume":"42","author":"Montandon C","year":"2009","journal-title":"Radiol Bras"},{"issue":"2","key":"ref8","first-page":"249","article-title":"Tumor gl\u00f3mico subungueal","volume":"20","author":"Freitas F","year":"2012","journal-title":"Rev Port Ortop Traumatol"},{"issue":"5","key":"ref9","first-page":"705","article-title":"The glomus tumor","volume":"135","author":"Mullis WF","year":"1972","journal-title":"Surg Gynecol Obstet"},{"issue":"4","key":"ref10","first-page":"481","article-title":"A long term appraisal of carotid body tumors with remarks on their removal","volume":"92","author":"Lahey FH","year":"1951","journal-title":"Surg Gynecol Obstet"},{"key":"ref11","first-page":"1384","article-title":"Tumor of the intercarotid body. A report of one case, together with all cases in literature","volume":"126","author":"Schudder CL","year":"1903","journal-title":"Am J Med Sci"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/0002-9610(71)90436-3","article-title":"Carotid body tumor (chemodectoma). 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