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Glomus Jugulare Tumor

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Here is yet another left-sided jugular tumor.

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And as we scroll the non-contrast and contrast

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enhanced images, down to the skull base,

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you see that this lesion is bright in signal intensity

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on the T1-weighted scan before contrast.

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However, it does show avid contrast enhancement.

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So this is another example of the so-called salt and

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pepper look with the bright and the dark signal

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intensity in the mass, even before contrast,

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secondary to the matrix of the lesion,

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as well as the flow voids of the vessels

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accounting for the pepper.

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And this lesion as well seems to grow into the

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distal-most portion of the sigmoid sinus, and then,

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as you can see, grows into the jugular vein,

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hence giving us the high likelihood that this

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represents a glomus jugulare tumor.

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When you have these glomus jugulare tumors,

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you really must look at the contralateral side, as

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well to look for any additional paragangliomas,

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be they glomus jugulare, glomus vagale,

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glomus tympanicum, or carotid body tumors.

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In this case, another left-sided,

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isolated glomus jugulare tumor.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Neuro

Neoplastic

MRI

Head and Neck

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