“Glomus carotídeo en paciente con antecedente de microadenoma hipofisario en tratamiento con cabergolina” ¿Existe relación?

Abstract

INTRODUCTION: Carotid paragangliomas originating from the carotid body or chemodectomas; they are generally rare, commonly benign tumors, accounting for 0.5% of all body tumors, but they comprise the majority of head and neck paragangliomas. They occur in patients residing in the Sierra region, our patient has a particular case taking into account the pathologies developed in her life, the pharmacological treatment established and the different places where she lived. OBJECTIVES: To identify the evolution and development of the carotid glomus tumor in the patient. Describe the diagnostic and therapeutic procedures used during patient management. Relate the prolactin-secreting pituitary microadenoma and the development of the carotid glomus. CASE PRESENTATION: Female patient, 45 years old. With a personal history of hypothyroidism and prolactin-producing pituitary microadenoma in treatment with cabergoline. She went to the health home for presenting sporadic dysphonia for 2 years of evolution; the discomfort is accompanied by a sensation of a palpable, non-painful mass in the right neck region. Physician values patient and requires complementary exams for better management. In a new consultation with a specialist, the diagnosis is ratified and surgical conduct is planned. CONCLUSIONS: The development and evolution of carotid glomus tumor has been verified in patients residing at remarkable heights above sea level. The current treatment is surgical resection. It has not been possible to establish a scientific support, much less retrospective studies, of prolactin-secreting pituitary microadenoma, cabergoline, and carotid glomus tumor. RECOMMENDATIONS: Post-surgical medical follow-up is recommended, they may present complications. The review of the clinical case is recommended since it can open doors of investigation in patients with a similar pathological picture.