A case of a carotid body tumor is presented, which was observed in a forty-four-years-old patient. This in an uncommon type of neoplasia whose incidence and clinical features are discussed. It is underlined the role of carotid angiography as the most reliable diagnostic tool. Moreover in these cases it is suggested a complete angiographic evaluation of both subclavian ad carotid vessels including endocranial circulation, for the important influence on the surgical approach. Surgical technique is mainly conditioned by the close relationship with fine anatomic structures like vessels and nerves of the neck. As a consequence it is emphasized the need of a technical achievement in modern carotid surgery as a necessary requisite for a complete removal and a low complication incidence.
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