Intensity modulated conformal radiotherapy of a jugulo-tympanic paraganglioma

Bouziane Amina *, Mahomed Iyass Yessoufou, Kaoutar Soussy, Hassani Wissal, Farhan Fatima Zahra, Alami Zenab and Bouhafa Touria

Department of radiation oncology, University hospital Hassan II, Fez, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2021, 12(03), 349–353
Article DOI: 10.30574/wjarr.2021.12.3.0711
 
Publication history: 
Received on 15 November 2021; revised on 22 December 2021; accepted on 24 December 2021
 
Abstract: 
Jugulo-tympanic paragangliomas are rare benign tumors arising from the neuroectodermal cells of the tympanic cavity and the dome of the jugular vein. Surgical resection has long been the first-line treatment. However, when this is not possible, radiotherapy remains a therapeutic alternative allowing local control with less morbidity. We report the case of a patient with an unresectable tympano-jugular paraganglioma, the symptomalagy was dominted by chronic headaches and right sided hypoacousie, and the treatment consisted of external radiation therapy with a total dose of 50 Gy in 25 fractions, one fraction per day, 2 Gy per fraction using the IMRT technique. The evolution was good with disappearance of clinical symptomatology, significant local control with less toxicity.
 
Keywords: 
Jugulo-tympanic; Paraganglioma; IMRT; Radiotheray
 
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