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Glomus Vagale Paraganglioma
Patricia A. Hudgins, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Glomus vagale paraganglioma (GVP)
              • Synonyms

                • Vagal paraganglioma (PGL)
                • Vagale chemodectoma
                • Nonchromaffin PGL
              • Definitions

                • Benign vascular tumor arising in glomus bodies associated with nodose ganglion of vagus nerve

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Angiographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Staging, Grading, & Classification

                                  • Gross Pathologic & Surgical Features

                                    • Microscopic Features

                                      CLINICAL ISSUES

                                      • Presentation

                                        • Demographics

                                          • Natural History & Prognosis

                                            • Treatment

                                              DIAGNOSTIC CHECKLIST

                                              • Consider

                                                • Image Interpretation Pearls

                                                  • Reporting Tips

                                                    Selected References

                                                    1. Moore MG et al: Head and neck paragangliomas: an update on evaluation and management. Otolaryngol Head Neck Surg. 154(4):597-605, 2016
                                                    2. Woolen S et al: Paragangliomas of the head and neck. Neuroimaging Clin N Am. 26(2):259-78, 2016
                                                    3. Gilbo P et al: Radiotherapy for benign head and neck paragangliomas: a 45-year experience. Cancer. 120(23):3738-43, 2014
                                                    4. Goyal A et al: Fine needle aspiration of vagal paraganglioma: an interesting clinical presentation. Diagn Cytopathol. 40(7):651-2, 2012
                                                    5. Neskey DM et al: Outcomes after surgical resection of head and neck paragangliomas: a review of 61 patients. Skull Base. 21(3):171-6, 2011
                                                    6. Papaspyrou K et al: Management of head and neck paragangliomas: review of 120 patients. Head Neck. 31(3):381-7, 2009
                                                    7. Karatas E et al: Synchronous bilateral carotid body tumor and vagal paraganglioma: a case report and review of literature. Auris Nasus Larynx. 35(1):171-5, 2008
                                                    8. Koopmans KP et al: 111In-octreotide is superior to 123I-metaiodobenzylguanidine for scintigraphic detection of head and neck paragangliomas. J Nucl Med. 49(8):1232-7, 2008
                                                    9. Lozano FS et al: Surgery of vagal paragangliomas: six patients and review of literature. Surg Oncol. 17(4):281-7, 2008
                                                    10. SEER Program Coding and Staging Manual (SPCSM) with 2008 Revisions. Bethesda, MD: National Cancer Institute, 2008
                                                    11. Paal E: Head and neck pathology–radiology classics: vagal paraganglioma. Head Neck Path. 1(1):35-37, 2007
                                                    12. Yanbuloğlu B et al: Two synchronous glomus tumors simulating a single mass: glomus vagale and glomus caroticum. Diagn Interv Radiol. 12(4):177-9, 2006
                                                    13. Zanoletti E et al: Vagal paraganglioma. Skull Base. 16(3):161-7, 2006
                                                    14. Hinerman RW et al: Definitive radiotherapy in the management of chemodectomas arising in the temporal bone, carotid body, and glomus vagale. Head Neck. 23(5):363-71, 2001
                                                    15. Koischwitz D et al: Ultrasound of the neck. Radiol Clin North Am. 38(5):1029-45, 2000
                                                    16. Mafee MF et al: Glomus faciale, glomus jugulare, glomus tympanicum, glomus vagale, carotid body tumors, and simulating lesions. Role of MR imaging. Radiol Clin North Am. 38(5):1059-76, 2000
                                                    17. Rao AB et al: From the archives of the AFIP. Paragangliomas of the head and neck: radiologic-pathologic correlation. Armed Forces Institute of Pathology. Radiographics. 19(6):1605-32, 1999
                                                    18. Evenson LJ et al: Radiotherapy in the management of chemodectomas of the carotid body and glomus vagale. Head Neck. 20(7):609-13, 1998
                                                    19. Levin RJ et al: Dopamine-secreting glomus vagale: a case report and histopathologic correlation. Head Neck. 20(8):753-7, 1998
                                                    20. Netterville JL et al: Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg. 124(10):1133-40, 1998
                                                    21. Muhm M et al: Diagnostic and therapeutic approaches to carotid body tumors. Review of 24 patients. Arch Surg. 132(3):279-84, 1997
                                                    22. Walsh RM et al: Malignant vagal paraganglioma. J Laryngol Otol. 111(1):83-8, 1997
                                                    23. Borba LA et al: Intravagal paragangliomas: report of four cases. Neurosurgery. 38(3):569-75; discussion 575, 1996
                                                    24. Cole JM et al: Long-term results of treatment for glomus jugulare and glomus vagale tumors with radiotherapy. Laryngoscope. 104(12):1461-5, 1994
                                                    25. McCaffrey TV et al: Familial paragangliomas of the head and neck. Arch Otolaryngol Head Neck Surg. 120(11):1211-6, 1994
                                                    26. Urquhart AC et al: Glomus vagale: paraganglioma of the vagus nerve. Laryngoscope. 104(4):440-5, 1994
                                                    27. Eriksen C et al: Vagal paragangliomas: a report of nine cases. Am J Otolaryngol. 12(5):278-87, 1991
                                                    Related Anatomy
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                                                    Related Differential Diagnoses
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                                                    References
                                                    Tables

                                                    Tables

                                                    KEY FACTS

                                                    • Terminology

                                                      • Imaging

                                                        • Top Differential Diagnoses

                                                          • Pathology

                                                            • Clinical Issues

                                                              • Diagnostic Checklist

                                                                TERMINOLOGY

                                                                • Abbreviations

                                                                  • Glomus vagale paraganglioma (GVP)
                                                                • Synonyms

                                                                  • Vagal paraganglioma (PGL)
                                                                  • Vagale chemodectoma
                                                                  • Nonchromaffin PGL
                                                                • Definitions

                                                                  • Benign vascular tumor arising in glomus bodies associated with nodose ganglion of vagus nerve

                                                                IMAGING

                                                                • General Features

                                                                  • CT Findings

                                                                    • MR Findings

                                                                      • Ultrasonographic Findings

                                                                        • Angiographic Findings

                                                                          • Nuclear Medicine Findings

                                                                            • Imaging Recommendations

                                                                              DIFFERENTIAL DIAGNOSIS

                                                                                PATHOLOGY

                                                                                • General Features

                                                                                  • Staging, Grading, & Classification

                                                                                    • Gross Pathologic & Surgical Features

                                                                                      • Microscopic Features

                                                                                        CLINICAL ISSUES

                                                                                        • Presentation

                                                                                          • Demographics

                                                                                            • Natural History & Prognosis

                                                                                              • Treatment

                                                                                                DIAGNOSTIC CHECKLIST

                                                                                                • Consider

                                                                                                  • Image Interpretation Pearls

                                                                                                    • Reporting Tips

                                                                                                      Selected References

                                                                                                      1. Moore MG et al: Head and neck paragangliomas: an update on evaluation and management. Otolaryngol Head Neck Surg. 154(4):597-605, 2016
                                                                                                      2. Woolen S et al: Paragangliomas of the head and neck. Neuroimaging Clin N Am. 26(2):259-78, 2016
                                                                                                      3. Gilbo P et al: Radiotherapy for benign head and neck paragangliomas: a 45-year experience. Cancer. 120(23):3738-43, 2014
                                                                                                      4. Goyal A et al: Fine needle aspiration of vagal paraganglioma: an interesting clinical presentation. Diagn Cytopathol. 40(7):651-2, 2012
                                                                                                      5. Neskey DM et al: Outcomes after surgical resection of head and neck paragangliomas: a review of 61 patients. Skull Base. 21(3):171-6, 2011
                                                                                                      6. Papaspyrou K et al: Management of head and neck paragangliomas: review of 120 patients. Head Neck. 31(3):381-7, 2009
                                                                                                      7. Karatas E et al: Synchronous bilateral carotid body tumor and vagal paraganglioma: a case report and review of literature. Auris Nasus Larynx. 35(1):171-5, 2008
                                                                                                      8. Koopmans KP et al: 111In-octreotide is superior to 123I-metaiodobenzylguanidine for scintigraphic detection of head and neck paragangliomas. J Nucl Med. 49(8):1232-7, 2008
                                                                                                      9. Lozano FS et al: Surgery of vagal paragangliomas: six patients and review of literature. Surg Oncol. 17(4):281-7, 2008
                                                                                                      10. SEER Program Coding and Staging Manual (SPCSM) with 2008 Revisions. Bethesda, MD: National Cancer Institute, 2008
                                                                                                      11. Paal E: Head and neck pathology–radiology classics: vagal paraganglioma. Head Neck Path. 1(1):35-37, 2007
                                                                                                      12. Yanbuloğlu B et al: Two synchronous glomus tumors simulating a single mass: glomus vagale and glomus caroticum. Diagn Interv Radiol. 12(4):177-9, 2006
                                                                                                      13. Zanoletti E et al: Vagal paraganglioma. Skull Base. 16(3):161-7, 2006
                                                                                                      14. Hinerman RW et al: Definitive radiotherapy in the management of chemodectomas arising in the temporal bone, carotid body, and glomus vagale. Head Neck. 23(5):363-71, 2001
                                                                                                      15. Koischwitz D et al: Ultrasound of the neck. Radiol Clin North Am. 38(5):1029-45, 2000
                                                                                                      16. Mafee MF et al: Glomus faciale, glomus jugulare, glomus tympanicum, glomus vagale, carotid body tumors, and simulating lesions. Role of MR imaging. Radiol Clin North Am. 38(5):1059-76, 2000
                                                                                                      17. Rao AB et al: From the archives of the AFIP. Paragangliomas of the head and neck: radiologic-pathologic correlation. Armed Forces Institute of Pathology. Radiographics. 19(6):1605-32, 1999
                                                                                                      18. Evenson LJ et al: Radiotherapy in the management of chemodectomas of the carotid body and glomus vagale. Head Neck. 20(7):609-13, 1998
                                                                                                      19. Levin RJ et al: Dopamine-secreting glomus vagale: a case report and histopathologic correlation. Head Neck. 20(8):753-7, 1998
                                                                                                      20. Netterville JL et al: Vagal paraganglioma: a review of 46 patients treated during a 20-year period. Arch Otolaryngol Head Neck Surg. 124(10):1133-40, 1998
                                                                                                      21. Muhm M et al: Diagnostic and therapeutic approaches to carotid body tumors. Review of 24 patients. Arch Surg. 132(3):279-84, 1997
                                                                                                      22. Walsh RM et al: Malignant vagal paraganglioma. J Laryngol Otol. 111(1):83-8, 1997
                                                                                                      23. Borba LA et al: Intravagal paragangliomas: report of four cases. Neurosurgery. 38(3):569-75; discussion 575, 1996
                                                                                                      24. Cole JM et al: Long-term results of treatment for glomus jugulare and glomus vagale tumors with radiotherapy. Laryngoscope. 104(12):1461-5, 1994
                                                                                                      25. McCaffrey TV et al: Familial paragangliomas of the head and neck. Arch Otolaryngol Head Neck Surg. 120(11):1211-6, 1994
                                                                                                      26. Urquhart AC et al: Glomus vagale: paraganglioma of the vagus nerve. Laryngoscope. 104(4):440-5, 1994
                                                                                                      27. Eriksen C et al: Vagal paragangliomas: a report of nine cases. Am J Otolaryngol. 12(5):278-87, 1991