
Glomus Tumors in the Head and Neck-Reply
G. J. Spector, MD
Dept of Otolaryngology Washington Univ School of Med 517 S Euclid St Louis, MO 63110
Arch Neurol. 1977;34(1):59-60.
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In Reply.—
Dr Chusid's letter makes two specific points. The first concerns our exclusion of the carotid body tumors from the chemodectomas in the head and neck region. The second raises the point whether a biopsy is really indicated, since the clinical features that delineate these tumors are quite characteristic.
With respect to the first comment, we specifically excluded the carotid body tumors since they are well recognized and documented in the literature. It was not our intention to imply that pathologically and histologically these lesions are different. In fact, they are all probably derivatives of the paraganglion cells, which are of neural crest origin but are found in different locations. Our main point was to accentuate those lesions in the head and neck region that are not as common and that have a significant neurologic history as part of the clinical presentation.
With respect to the second comment, we agree with
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