Click on image to view full size image. Bilateral glomus jugulare tumors. Axial T1, axial FSE T2, post gadolinium axial T1 fat sat and post gadolinium T1 sagittal images demonstate bilateral lateral pharyngeal area masses that are isointense to muscle on T1 weighted images, and heterogeneous on FSE T2. The lesions show significant post gadolinium enhancement.
Familial types have higher incidence of multifocal lesions.
With gadolinium, there is early intense enhancement. Patient may undergo pre-operative intravascular embolization to help reduce overall tumor vascularity and subsequent risk for intraoperative bleeding. Slow growth Glomus jugulare has the lowest rate of Malignant transformation of all glomus tumors. Lewin JS, et al. Vogl TJ, et al.