Glomus Jugulare Tumors: VI. Follow-Up of Cases

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Abstract
IT HAS become apparent that a rational mode of therapy can logically be proposed if one attempts to classify these tumors into stages based on clinical and empirical estimation of the underlying pathology at the time they are first seen. One must realize that for many reasons it is most difficult to evaluate a modality of therapy in glomus jugulare tumors whether it is surgery or irradiation or a combination of both, when it is generally known that these tumors, untreated, have changed very slowly over the years. Bickerstaff and Howell reported a patient who had a glomus jugulare tumor untreated for 42 years. Twenty-five years ago I removed a huge glomus tumor from the middle ear, mastoid, and jugular bulb area. I left tumor attached to the jugular bulb and gave irradiation postoperatively (5500 rads 200 Kv) in a period of 30 days. This patient is living, working, and

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