# Surgical Resection of a Shamblin Type III Carotid Glomus Tumor Without Preoperative Embolization: A Case Report

## TL;DR

A 33-year-old man successfully underwent surgery for a complex carotid tumor without preoperative embolization, highlighting new insights into surgical planning.

## Contribution

The paper presents a novel case and discusses new tumor classification proposals to improve surgical outcomes.

## Key findings

- Surgical resection of a Shamblin type III tumor was successfully performed without preoperative embolization.
- The only complication was a hypoglossal nerve lesion.
- New tumor classification proposals may optimize surgical planning.

## Abstract

Shamblin type III carotid glomus tumors represent a major surgical challenge due to their intimate relationship with neurovascular structures. We present the case of a 33-year-old male patient with a type III carotid glomus tumor who underwent surgical resection without preoperative embolization or vascular bypass. The postoperative course included lesion of the hypoglossal nerve as the only complication. Technical aspects, the controversial role of preoperative embolization, and new proposals for tumor classification that could optimize surgical planning in this group of patients are discussed.