D2 Management of Large (D1 AND) Glomus Tumors

Glomus-jugular tumors are rare slow-growing hyper vascular neoplasms. Although glomus jugular tumors appear histologically benign, because of their locations at the skull base, they have the potential to spread intracranial, they have been shown to result in mortality in 5 to 13% of patients. The surgical approach to these benign tumors in critical area, is associated with high morbidity and can cause deficit in the functioning of the cranial nerves, which in turn compromise the quality of life of the patient. The alternate approach for these tumors is radiation but this radiation is not without short term and long term complications. Here we are presenting the approach to these critical tumor developed at our institution on 25 patients with D1, D2 tumors with average follow-up of 5 to 10 years.