{"id":798,"date":"2025-05-07T12:48:33","date_gmt":"2025-05-07T09:48:33","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/paraganglioma\/"},"modified":"2026-04-24T10:28:45","modified_gmt":"2026-04-24T07:28:45","slug":"paraganglioma","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/es\/enfermedades\/sistema-vascular\/paraganglioma\/","title":{"rendered":"Quimiodectoma (paraganglioma): etiolog\u00eda, patogenia, clasificaci\u00f3n, diagn\u00f3stico, m\u00e9todos de tratamiento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u041f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 (\u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430) \u2014 \u0440\u0435\u0434\u043a\u0430\u044f, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c, \u0432\u043e\u0437\u043d\u0438\u043a\u0430\u044e\u0449\u0430\u044f \u0438\u0437 \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430, \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u0432 \u043c\u0435\u0441\u0442\u0435 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u043e\u0431\u0449\u0435\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-paraganglioma.webp\" alt=\"Quimiodectoma (paraganglioma)\"><figcaption class=\"wp-element-caption\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 (\u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430) \u2013 <a href=\"https:\/\/catalog.voka.io\/ru\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/6ec65686-8390-42c1-b3f3-c7a1f7148948\/aa66bddd-72b2-4945-91b8-90210e91fc55\/9db48cfc-4d8c-4de0-8e9c-e20a7d131626\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">3D-\u043c\u043e\u0434\u0435\u043b\u044c<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"epidemiologia\">Epidemiolog\u00eda  <\/h2>\n<ul class=\"wp-block-list\">\n<li>Aproximadamente 1-2 casos por 100.000 habitantes. <\/li>\n<li>Las mujeres se ven afectadas con m\u00e1s frecuencia que los hombres. <\/li>\n<li>La edad media de diagn\u00f3stico es de unos 45 a\u00f1os.<\/li>\n<li>\u0412\u044b\u0441\u043e\u043a\u0430\u044f \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043e\u0442\u043c\u0435\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0441\u0442\u0440\u0430\u043d\u0430\u0445 \u041b\u0430\u0442\u0438\u043d\u0441\u043a\u043e\u0439 \u0410\u043c\u0435\u0440\u0438\u043a\u0438, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0432 \u041c\u0435\u043a\u0441\u0438\u043a\u0435, \u0433\u0434\u0435 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u044e\u0442 \u0434\u043e 90 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432.<\/li>\n<li>Los habitantes de zonas de gran altitud tienen un mayor riesgo de desarrollar quimiodectomas debido a la hipoxia cr\u00f3nica.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologia\">Etiolog\u00eda<\/h2>\n<p><strong>\u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438<\/strong> \u2014 \u0432\u0435\u0434\u0443\u0449\u0443\u044e \u0440\u043e\u043b\u044c \u0438\u0433\u0440\u0430\u044e\u0442 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445, \u043a\u043e\u0434\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0441\u0443\u0431\u044a\u0435\u0434\u0438\u043d\u0438\u0446\u044b \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 (SDH), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0443\u0447\u0430\u0441\u0442\u0432\u0443\u0435\u0442 \u0432 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439 \u0438 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u043c \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0437\u043c\u0435. \u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u0433\u0435\u043d\u044b:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong><em>SDHD<\/em><\/strong> \u2014 \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u043e \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d \u0441 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 \u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430\u043c\u0438 \u0433\u043e\u043b\u043e\u0432\u044b \u0438 \u0448\u0435\u0438; \u043f\u0435\u0440\u0435\u0434\u0430\u0435\u0442\u0441\u044f \u043f\u043e \u043e\u0442\u0446\u043e\u0432\u0441\u043a\u043e\u0439 \u043b\u0438\u043d\u0438\u0438;<\/li>\n<li><strong><em>SDHB<\/em><\/strong> \u2014 \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d \u0441 \u0431\u043e\u043b\u0435\u0435 \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u044b\u043c\u0438 \u0444\u043e\u0440\u043c\u0430\u043c\u0438 \u0438 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u044b\u043c \u0440\u0438\u0441\u043a\u043e\u043c \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u0442\u0435\u0447\u0435\u043d\u0438\u044f;<\/li>\n<li><strong><em>SDHC<\/em><\/strong><strong>, <\/strong><strong><em>SDHA<\/em><\/strong><strong>, <\/strong><strong><em>SDHAF2<\/em><\/strong> \u2014 \u0440\u0435\u0436\u0435 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u044b, \u043d\u043e \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0433\u0443\u0442 \u0441\u043f\u043e\u0441\u043e\u0431\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044e \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/li>\n<\/ul>\n<p><strong>\u0421\u0438\u043d\u0434\u0440\u043e\u043c\u044b, <\/strong><strong>\u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430\u043c\u0438<\/strong>:\u00a0<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0438\u043d\u0434\u0440\u043e\u043c \u0444\u043e\u043d \u0413\u0438\u043f\u043f\u0435\u043b\u044f \u2014 \u041b\u0438\u043d\u0434\u0430\u0443 (VHL);\u00a0<\/li>\n<li>\u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u044d\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u0430\u044f \u043d\u0435\u043e\u043f\u043b\u0430\u0437\u0438\u044f 2 \u0442\u0438\u043f\u0430 (MEN2);\u00a0<\/li>\n<li>\u043d\u0435\u0439\u0440\u043e\u0444\u0438\u0431\u0440\u043e\u043c\u0430\u0442\u043e\u0437 1 \u0442\u0438\u043f\u0430 (NF1)\u200b.<\/li>\n<\/ul>\n<p><strong>\u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f<\/strong> \u2014 \u043f\u0440\u043e\u0436\u0438\u0432\u0430\u043d\u0438\u0435 \u043d\u0430 \u0432\u044b\u0441\u043e\u0442\u0435 \u0431\u043e\u043b\u0435\u0435 2000 \u043c \u043d\u0430\u0434 \u0443\u0440\u043e\u0432\u043d\u0435\u043c \u043c\u043e\u0440\u044f, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0442\u0430\u043a\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f, \u043a\u0430\u043a \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043e\u0431\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c \u043b\u0435\u0433\u043a\u0438\u0445 \u0438 \u0432\u0440\u043e\u0436\u0434\u0435\u043d\u043d\u044b\u0435 \u043f\u043e\u0440\u043e\u043a\u0438 \u0441\u0435\u0440\u0434\u0446\u0430, \u043c\u043e\u0433\u0443\u0442 \u0441\u0442\u0438\u043c\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0437\u0438\u044e \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430. \u200b<\/p>\n<p><strong>\u0421\u0435\u043c\u0435\u0439\u043d\u044b\u0439 \u0430\u043d\u0430\u043c\u043d\u0435\u0437 \u2014 \u043e\u043a\u043e\u043b\u043e 10\u00a0%<\/strong> \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0441\u0435\u043c\u0435\u0439\u043d\u044b\u043c\u0438.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69ef36172db8a\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/%20Chemodectoma\/chemodectoma-type-1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/%20Chemodectoma\/chemodectoma-type-3.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_69ef36172db8a\"><\/div>\n<div class=\"swiper-article-video-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev-block_69ef36172db8a\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 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33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69ef36172db8a', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69ef36172db8a',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69ef36172db8a',\n                prevEl: '.video-carousel-swiper-button-prev-block_69ef36172db8a',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"patogenesis\">Patog\u00e9nesis<\/h2>\n<ol class=\"wp-block-list\">\n<li><strong>\u041d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 (<em>SDHx<\/em>)<\/strong><\/li>\n<\/ol>\n<p>\u041c\u0443\u0442\u0430\u0446\u0438\u0438 <em>SDH<\/em> (\u043a\u043b\u044e\u0447\u0435\u0432\u043e\u0433\u043e \u0444\u0435\u0440\u043c\u0435\u043d\u0442\u0430 \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 II \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u0438 \u0446\u0438\u043a\u043b\u0430 \u041a\u0440\u0435\u0431\u0441\u0430) \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0430 (\u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442 \u043a\u0430\u043a <em>oncometabolite<\/em>) \u2192 \u0438\u043d\u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u043b\u0438\u043b\u0433\u0438\u0434\u0440\u043e\u043a\u0441\u0438\u043b\u0430\u0437 (PHDs) \u2014 \u0444\u0435\u0440\u043c\u0435\u043d\u0442\u043e\u0432, \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0434\u0435\u0433\u0440\u0430\u0434\u0430\u0446\u0438\u044e HIF-1\u03b1 (\u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f-\u0438\u043d\u0434\u0443\u0446\u0438\u0440\u0443\u0435\u043c\u043e\u0433\u043e \u0444\u0430\u043a\u0442\u043e\u0440\u0430) \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 HIF-1\u03b1 \u2192 \u043f\u0441\u0435\u0432\u0434\u043e\u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f \u2192 \u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f VEGF (\u0430\u043d\u0433\u0438\u043e\u0433\u0435\u043d\u0435\u0437) \/ GLUT1 (\u0433\u043b\u0438\u043a\u043e\u043b\u0438\u0437) \/ PDGF (\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0430\u044f \u043f\u0440\u043e\u043b\u0438\u0444\u0435\u0440\u0430\u0446\u0438\u044f) \u2192 \u043d\u0435\u043e\u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0442\u0440\u0430\u043d\u0441\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u0438 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Hipoxia cr\u00f3nica<\/strong><\/li>\n<\/ol>\n<p>\u0413\u0438\u043f\u043e\u043a\u0441\u0438\u044f (\u0432\u044b\u0441\u043e\u0442\u0430, \u0425\u041e\u0411\u041b) \u2192 \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 pO\u2082 \u2192 \u0430\u043a\u0442\u0438\u0432\u0430\u0446\u0438\u044f \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u044b\u0445 \u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043e\u0432 \u2192 \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0437\u0438\u044f \u043a\u043b\u0435\u0442\u043e\u043a \u2192 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435 HIF-1\u03b1 \u2192 \u0430\u043d\u0433\u0438\u043e\u0433\u0435\u043d\u0435\u0437 \u0438 \u043d\u0435\u043e\u043f\u043b\u0430\u0437\u0438\u044f.\u00a0<\/p>\n<p>\u0412 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0432 \u0440\u0430\u0437\u043c\u0435\u0440\u0430\u0445. \u041f\u043e \u043c\u0435\u0440\u0435 \u0440\u043e\u0441\u0442\u0430 \u043e\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u043b\u043e\u043a\u0430\u043b\u044c\u043d\u043e \u0438\u043d\u0432\u0430\u0437\u0438\u0432\u043d\u044b\u0439 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440, \u0432\u043f\u043b\u043e\u0442\u044c \u0434\u043e \u043e\u043a\u0440\u0443\u0436\u0435\u043d\u0438\u044f \u0438\u043b\u0438 \u0441\u0434\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u0431\u043b\u0438\u0437\u043b\u0435\u0436\u0430\u0449\u0438\u0445 \u0430\u043d\u0430\u0442\u043e\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u044f\u044f \u0438 \u043d\u0430\u0440\u0443\u0436\u043d\u0430\u044f \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438, \u0431\u043b\u0443\u0436\u0434\u0430\u044e\u0449\u0438\u0439, \u043f\u043e\u0434\u044a\u044f\u0437\u044b\u0447\u043d\u044b\u0439 \u0438 \u044f\u0437\u044b\u043a\u043e\u0433\u043b\u043e\u0442\u043e\u0447\u043d\u044b\u0439 \u043d\u0435\u0440\u0432\u044b. \u042d\u0442\u043e \u043c\u043e\u0436\u0435\u0442 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0443\u044e \u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0443\u044e \u0438 \u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u0443\u044e \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0443.<\/p>\n<h2 class=\"wp-block-heading\" id=\"clasificacion-del-paraganglioma\">Clasificaci\u00f3n del <span class=\"glossary-term\" data-title=\"Tumor gl\u00f3mico\" data-tooltip=\"Un tumor gl\u00f3mico, o paraganglioma, es una neoplasia rara, generalmente benigna, que surge de las c\u00e9lulas paraganglionares, que act\u00faan como quimiorreceptores. Estas c\u00e9lulas normalmente detectan cambios en la qu\u00edmica de la sangre y est\u00e1n ubicadas a lo largo de los principales vasos sangu\u00edneos y nervios.\" data-link=\"https:\/\/wiki.dev.voka.io\/es\/glosario\/tumor-glomico\/\">paraganglioma<\/span><\/h2>\n<p>\u0423\u0438\u043b\u044c\u044f\u043c \u0428\u0430\u043c\u0431\u043b\u0438\u043d \u043f\u0440\u0435\u0434\u043b\u043e\u0436\u0438\u043b \u0434\u0435\u043b\u0438\u0442\u044c \u043f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u044b \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 \u043d\u0430 \u0442\u0440\u0438 \u0442\u0438\u043f\u0430 (Shamblin-\u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f):<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0442\u0438\u043f I<\/strong>: \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u0434\u043e 3,5 \u0441\u043c, \u0440\u044b\u0445\u043b\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0435 \u0441\u043e \u0441\u0442\u0435\u043d\u043a\u0430\u043c\u0438 \u0430\u0440\u0442\u0435\u0440\u0438\u0439;<\/li>\n<li><strong>\u0442\u0438\u043f II<\/strong>: 3,5\u20135 \u0441\u043c, \u0447\u0430\u0441\u0442\u0438\u0447\u043d\u043e \u043e\u0445\u0432\u0430\u0442\u044b\u0432\u0430\u044e\u0442 \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438, \u0438\u043c\u0435\u044e\u0442 \u0431\u043e\u043b\u0435\u0435 \u043f\u043b\u043e\u0442\u043d\u043e\u0435 \u0441\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u0441\u043e \u0441\u0442\u0435\u043d\u043a\u0430\u043c\u0438 \u0430\u0440\u0442\u0435\u0440\u0438\u0439;<\/li>\n<li><strong>\u0442\u0438\u043f III<\/strong>: \u0431\u043e\u043b\u0435\u0435 5 \u0441\u043c, \u043e\u0445\u0432\u0430\u0442\u044b\u0432\u0430\u044e\u0442 \u0441\u043e\u043d\u043d\u044b\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0438\/\u0438\u043b\u0438 \u0431\u043b\u0438\u0437\u043b\u0435\u0436\u0430\u0449\u0438\u0435 \u0441\u043e\u0441\u0443\u0434\u044b, \u043d\u0435\u0440\u0432\u044b \u0438\u043c\u0435\u044e \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u043d\u043e \u043f\u043b\u043e\u0442\u043d\u043e\u0435 \u0441\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u0441 \u0434\u0430\u043d\u043d\u044b\u043c\u0438 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0430\u043c\u0438.<\/li>\n<\/ul>\n<p>\u041a\u0440\u043e\u043c\u0435 \u0442\u043e\u0433\u043e, \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0443 \u043c\u043e\u0436\u043d\u043e \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u0442\u044c <strong>\u043f\u043e \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438<\/strong>: \u0441\u043f\u043e\u0440\u0430\u0434\u0438\u0447\u0435\u0441\u043a\u0430\u044f (\u0434\u043e 85\u00a0%), \u0441\u0435\u043c\u0435\u0439\u043d\u0430\u044f (10\u201315\u00a0%), \u0433\u0438\u043f\u0435\u0440\u043f\u043b\u0430\u0441\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f (1\u20135\u00a0%).<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69ef36172edca\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-type-1.webp\" alt=\"\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f\"><span class=\"small-text-article text-main-text-color\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 I \u0442\u0438\u043f<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/vascular-system\/paraganglioma\/chemodectoma-type-3.webp\" alt=\"\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f\"><span class=\"small-text-article text-main-text-color\">\u0425\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 III \u0442\u0438\u043f<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69ef36172edca\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69ef36172edca\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69ef36172edca\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69ef36172edca', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69ef36172edca',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69ef36172edca',\n                prevEl: '.carousel-swiper-button-prev-block_69ef36172edca',\n            },\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"manifestaciones-clinicas\">Manifestaciones cl\u00ednicas<\/h2>\n<p>Puede no haber s\u00edntomas durante mucho tiempo. A medida que el tumor crece, pueden aparecer molestias:   <\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u043f\u0430\u043b\u044c\u043f\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c<\/strong> \u2014 \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u043e \u0440\u0430\u0441\u0442\u0443\u0449\u0430\u044f, \u0431\u0435\u0437\u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u0430\u044f, \u043f\u0443\u043b\u044c\u0441\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043c\u0430\u0441\u0441\u0430 \u043d\u0430 \u0431\u043e\u043a\u043e\u0432\u043e\u0439 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u0438 \u0448\u0435\u0438 (\u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0433\u0440\u0443\u0434\u0438\u043d\u043e-\u043a\u043b\u044e\u0447\u0438\u0447\u043d\u043e-\u0441\u043e\u0441\u0446\u0435\u0432\u0438\u0434\u043d\u043e\u0439 \u043c\u044b\u0448\u0446\u044b); \u200b<\/li>\n<li><strong>\u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b <\/strong>\u2014 \u043e\u0441\u0438\u043f\u043b\u043e\u0441\u0442\u044c \u0433\u043e\u043b\u043e\u0441\u0430, \u0434\u0438\u0441\u0444\u0430\u0433\u0438\u044f, \u043e\u043d\u0435\u043c\u0435\u043d\u0438\u0435 \u044f\u0437\u044b\u043a\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u044b\u0435 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0435\u0439 \u0447\u0435\u0440\u0435\u043f\u043d\u044b\u0445 \u043d\u0435\u0440\u0432\u043e\u0432 (IX\u2013XII); \u200b<\/li>\n<li><strong>\u0436<\/strong><strong>\u0430\u043b\u043e\u0431\u044b, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0435 \u0441 \u0432\u044b\u0440\u0430\u0431\u043e\u0442\u043a\u043e\u0439 \u043a\u0430\u0442\u0435\u0445\u043e\u043b\u0430\u043c\u0438\u043d\u043e\u0432<\/strong> \u2014 \u0441\u0435\u0440\u0434\u0446\u0435\u0431\u0438\u0435\u043d\u0438\u0435, \u043f\u0440\u0438\u0441\u0442\u0443\u043f\u044b \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0433\u0438\u043f\u0435\u0440\u0442\u0435\u043d\u0437\u0438\u0438, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0433\u043e\u043b\u043e\u0432\u043d\u0430\u044f \u0431\u043e\u043b\u044c, \u0442\u0440\u0435\u043c\u043e\u0440;<\/li>\n<li><strong>\u0440\u0435\u0434\u043a\u0438\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/strong> \u2014 <strong>\u00a0<\/strong>\u0433\u043e\u043b\u043e\u0432\u043e\u043a\u0440\u0443\u0436\u0435\u043d\u0438\u0435, \u043e\u0431\u043c\u043e\u0440\u043e\u043a\u0438 \u043f\u0440\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0438 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0441\u0438\u043d\u0443\u0441\u0430.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-del-paraganglioma\">Diagn\u00f3stico del paraganglioma<\/h2>\n<ul class=\"wp-block-list\">\n<li><strong>\u0424\u0438\u0437\u0438\u043a\u0430\u043b\u044c\u043d\u043e\u0435 \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435: <\/strong>\u043f\u043b\u043e\u0442\u043d\u0430\u044f, \u043f\u0443\u043b\u044c\u0441\u0438\u0440\u0443\u044e\u0449\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043d\u0430 \u0448\u0435\u0435, \u0441\u043c\u0435\u0449\u0430\u044e\u0449\u0430\u044f\u0441\u044f \u043f\u043e \u0433\u043e\u0440\u0438\u0437\u043e\u043d\u0442\u0430\u043b\u0438, \u043d\u043e \u043d\u0435 \u043f\u043e \u0432\u0435\u0440\u0442\u0438\u043a\u0430\u043b\u0438. \u200b<\/li>\n<li><strong>\u0423\u0417\u0418 \u0441 \u0434\u043e\u043f\u043f\u043b\u0435\u0440\u043e\u0433\u0440\u0430\u0444\u0438\u0435<\/strong>\u0439: \u0433\u0438\u043f\u0435\u0440\u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. \u200b<\/li>\n<li><strong>\u041c\u0420\u0422 \u0441 \u043a\u043e\u043d\u0442\u0440\u0430\u0441\u0442\u043e\u043c<\/strong>: \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u043d\u044b\u0439 \u00ab\u0441\u043e\u043b\u0435\u043d\u043e-\u043f\u0435\u0440\u0435\u0447\u043d\u044b\u0439\u00bb \u0432\u0438\u0434 \u043d\u0430 \u04221-\u0432\u0437\u0432\u0435\u0448\u0435\u043d\u043d\u044b\u0445 \u0438\u0437\u043e\u0431\u0440\u0430\u0436\u0435\u043d\u0438\u044f\u0445.<\/li>\n<li><strong>\u041a\u0422 \u0441 \u043a\u043e\u043d\u0442\u0440\u0430\u0441\u0442\u043e\u043c<\/strong>: \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0441\u0442\u0435\u043f\u0435\u043d\u0438 \u0438\u043d\u0432\u0430\u0437\u0438\u0438 \u0432 \u0441\u043e\u0441\u0443\u0434\u044b, \u043e\u0446\u0435\u043d\u043a\u0430 Shamblin-\u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438. \u200b\u041f\u043e\u0441\u0442\u0440\u043e\u0435\u043d\u0438\u0435 3D-\u043c\u043e\u0434\u0435\u043b\u0438 \u0434\u043b\u044f \u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438.<\/li>\n<li><strong>\u0410\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/strong>: \u0432\u044b\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u00ab\u0437\u043d\u0430\u043a\u0430 \u043b\u0438\u0440\u044b\u00bb \u2014 \u0440\u0430\u0441\u0445\u043e\u0436\u0434\u0435\u043d\u0438\u044f \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u0435\u0439 \u0438 \u043d\u0430\u0440\u0443\u0436\u043d\u043e\u0439 \u0441\u043e\u043d\u043d\u044b\u0445 \u0430\u0440\u0442\u0435\u0440\u0438\u0439. \u041f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u043e\u0446\u0435\u043d\u0438\u0442\u044c \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e\u0441\u0442\u044c\/\u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u044c \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0434\u0430\u043d\u043d\u043e\u0439 \u0437\u043e\u043d\u044b \u043a\u0430\u043a \u044d\u0442\u0430\u043f\u0430 \u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0435\u0440\u0430\u0442\u0438\u0432\u043d\u044b\u043c \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u043e\u043c. \u200b<\/li>\n<li><strong>\u041f\u042d\u0422-\u041a\u0422 \u0441 <\/strong><strong><sup>68<\/sup><\/strong><strong>Ga-DOTATATE<\/strong>: \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u0438\u043b\u0438 \u043c\u0435\u0442\u0430\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0447\u0430\u0433\u0438.. \u200b<\/li>\n<li><strong>\u041b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u043d\u044b\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f<\/strong>: \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0443\u0440\u043e\u0432\u043d\u044f \u043c\u0435\u0442\u0430\u043d\u0435\u0444\u0440\u0438\u043d\u043e\u0432 \u0438 \u043d\u043e\u0440\u043c\u0435\u0442\u0430\u043d\u0435\u0444\u0440\u0438\u043d\u043e\u0432 \u0432 \u043f\u043b\u0430\u0437\u043c\u0435 \u0438 \u043c\u043e\u0447\u0435 \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u0441\u0435\u043a\u0440\u0435\u0442\u0438\u0440\u0443\u044e\u0449\u0443\u044e \u043e\u043f\u0443\u0445\u043e\u043b\u044c.\u200b<\/li>\n<li><strong>\u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0442\u0435\u0441\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435<\/strong> \u043d\u0430 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445 <em>SDH<\/em> \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u0441\u0435\u043c\u0435\u0439\u043d\u043e\u0433\u043e \u0430\u043d\u0430\u043c\u043d\u0435\u0437\u0430 \u0438\u043b\u0438 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0445 \u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439.<\/li>\n<\/ul>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encuentra m\u00e1s contenido cient\u00edficamente preciso en nuestras redes sociales<\/p>\n<p><span class=\"social-banner-text text-grey\">Suscr\u00edbete y no te pierdas los \u00faltimos recursos<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamiento\">Tratamiento<\/h2>\n<p>El tratamiento del quimiodectoma carot\u00eddeo depende del tama\u00f1o del tumor, los s\u00edntomas cl\u00ednicos, el riesgo de complicaciones, la actividad funcional, el perfil gen\u00e9tico y el grado de Shamblin. Las principales modalidades de tratamiento son la escisi\u00f3n quir\u00fargica, la <span class=\"glossary-term\" data-title=\"Embolizaci\u00f3n\" data-tooltip=\"La embolizaci\u00f3n es un procedimiento endovascular m\u00ednimamente invasivo que implica el bloqueo dirigido (oclusi\u00f3n) de un vaso sangu\u00edneo mediante la introducci\u00f3n de materiales especiales (\u00e9mbolos) en su lumen.\" data-link=\"https:\/\/wiki.dev.voka.io\/es\/glosario\/embolizacion\/\">embolizaci\u00f3n<\/span> preoperatoria y, en casos seleccionados, la radioterapia o la quimioterapia. <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Embolizaci\u00f3n preoperatoria<\/strong><\/li>\n<\/ol>\n<p>\u041f\u0440\u0435\u0434\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u0430\u044f \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0441 \u0446\u0435\u043b\u044c\u044e \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u044f \u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u0438\u0437\u0430\u0446\u0438\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u0438, \u0443\u043c\u0435\u043d\u044c\u0448\u0435\u043d\u0438\u044f \u043e\u0431\u044a\u0435\u043c\u0430 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0439 \u043a\u0440\u043e\u0432\u043e\u043f\u043e\u0442\u0435\u0440\u0438 \u0438 \u043e\u0431\u043b\u0435\u0433\u0447\u0435\u043d\u0438\u044f \u0432\u044b\u0434\u0435\u043b\u0435\u043d\u0438\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u043f\u0440\u0438 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0438.<\/p>\n<p><strong>Indicaciones<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 Shamblin II\u2013III \u043a\u043b\u0430\u0441\u0441\u0430;<\/li>\n<li>\u0434\u0438\u0430\u043c\u0435\u0442\u0440 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 > 3 \u0441\u043c;<\/li>\n<li>\u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0437\u043d\u0430\u0447\u0438\u043c\u043e\u0433\u043e \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430 (\u043f\u043e \u0434\u0430\u043d\u043d\u044b\u043c \u041a\u0422\/\u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u0438);<\/li>\n<li>\u043f\u043b\u0430\u043d\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u0441 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u0435\u0439 \u0441\u043e\u0441\u0443\u0434\u043e\u0432.<\/li>\n<\/ul>\n<p><strong>Contraindicaciones<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 Shamblin I;<\/li>\n<li>\u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u0430 (\u043d\u0438\u0437\u043a\u0430\u044f \u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u0438\u0437\u0430\u0446\u0438\u044f);<\/li>\n<li>\u0430\u043d\u0430\u0441\u0442\u043e\u043c\u043e\u0437\u044b \u0441 \u0446\u0435\u0440\u0435\u0431\u0440\u0430\u043b\u044c\u043d\u043e\u0439 \u0446\u0438\u0440\u043a\u0443\u043b\u044f\u0446\u0438\u0435\u0439 \u2014 \u0440\u0438\u0441\u043a \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0437\u0433\u0430.<\/li>\n<\/ul>\n<p>\u0412\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f \u0441\u0435\u043b\u0435\u043a\u0442\u0438\u0432\u043d\u0430\u044f \u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043d\u0430\u0440\u0443\u0436\u043d\u043e\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. \u0427\u0435\u0440\u0435\u0437 \u043c\u0438\u043a\u0440\u043e\u043a\u0430\u0442\u0435\u0442\u0435\u0440 \u043e\u0441\u0443\u0449\u0435\u0441\u0442\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0430\u0433\u0435\u043d\u0442\u043e\u0432: \u043f\u043e\u043b\u0438\u0432\u0438\u043d\u0438\u043b\u0430\u043b\u043a\u043e\u0433\u043e\u043b\u044c\u043d\u044b\u0445 \u0447\u0430\u0441\u0442\u0438\u0446 (PVA), \u043c\u0438\u043a\u0440\u043e\u0441\u0444\u0435\u0440, \u0440\u0435\u0436\u0435 \u2014 \u043a\u043b\u0435\u044f \u0438\u043b\u0438 \u0441\u043f\u0438\u0440\u0430\u043b\u0435\u0439. \u041a\u043e\u043d\u0442\u0440\u043e\u043b\u044c\u043d\u0430\u044f \u0430\u043d\u0433\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0435\u0442 \u0440\u0435\u0434\u0443\u043a\u0446\u0438\u044e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430. \u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 24\u201348 \u0447\u0430\u0441\u043e\u0432 \u043f\u043e\u0441\u043b\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u043e\u043a\u0430 \u0441\u043e\u0445\u0440\u0430\u043d\u044f\u0435\u0442\u0441\u044f \u044d\u0444\u0444\u0435\u043a\u0442.<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Tratamiento quir\u00fargico  <\/strong><\/li>\n<\/ol>\n<p><strong>Indicaciones<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u044b\u0435 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 (\u0431\u043e\u043b\u044c, \u0434\u0438\u0441\u0444\u0430\u0433\u0438\u044f, \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u0435 \u0440\u0435\u0447\u0438);<\/li>\n<li>\u0431\u044b\u0441\u0442\u0440\u044b\u0439 \u0440\u043e\u0441\u0442 \u043e\u043f\u0443\u0445\u043e\u043b\u0438;<\/li>\n<li>\u043e\u043f\u0443\u0445\u043e\u043b\u0438 > 2,5\u20133 \u0441\u043c (\u0434\u0430\u0436\u0435 \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u044b\u0435);<\/li>\n<li>\u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u043d\u0430\u044f \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c \u043f\u043e \u041f\u042d\u0422 \u0438\u043b\u0438 \u0431\u0438\u043e\u0445\u0438\u043c\u0438\u0438;<\/li>\n<li>\u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u043d\u0430\u044f \u043c\u0443\u0442\u0430\u0446\u0438\u044f SDHB (\u0440\u0438\u0441\u043a \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0441\u0442\u0438);<\/li>\n<li>\u0432\u043e\u0437\u0440\u0430\u0441\u0442 < 60 \u043b\u0435\u0442.<\/li>\n<\/ul>\n<p><strong>Tipos de tratamiento quir\u00fargico<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u042d\u043a\u0441\u0442\u0440\u0430\u043a\u0430\u043f\u0441\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u0438<\/strong>. \u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442 \u0434\u043b\u044f Shamblin I\u2013II, \u0441\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u0435 \u0441\u043e\u0441\u0443\u0434\u043e\u0432, \u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u044b\u0439 \u0440\u0438\u0441\u043a.<\/li>\n<li><strong>\u0420\u0435\u0437\u0435\u043a\u0446\u0438\u044f \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0441 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u0435\u0439<\/strong>. \u0427\u0430\u0449\u0435 \u043f\u0440\u0438 Shamblin III. \u041f\u043e\u0441\u043b\u0435 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438 \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u0435\u0442\u0441\u044f \u043f\u0440\u043e\u0442\u0435\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 (Dacron, PTFE).\u00a0<\/li>\n<li><strong>Neuromonitorizaci\u00f3n y microcirug\u00eda<\/strong>. Se utiliza cuando est\u00e1 cerca de los nervios craneales (IX-XII).<\/li>\n<\/ul>\n<p><strong>Posibles complicaciones<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0435 (\u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u0438);<\/li>\n<li>\u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u0447\u0435\u0440\u0435\u043f\u043d\u044b\u0445 \u043d\u0435\u0440\u0432\u043e\u0432 (IX\u2013XII) \u2014 \u0434\u043e 30\u00a0% \u043f\u0440\u0438 \u043a\u0440\u0443\u043f\u043d\u044b\u0445 \u043e\u043f\u0443\u0445\u043e\u043b\u044f\u0445;<\/li>\n<li>\u0438\u043d\u0441\u0443\u043b\u044c\u0442 (\u043f\u0440\u0438 \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u0438 \u043a\u043e\u043b\u043b\u0430\u0442\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430);<\/li>\n<li>\u0440\u0435\u0446\u0438\u0434\u0438\u0432 (\u0440\u0435\u0434\u043a\u043e, \u043f\u0440\u0438 \u043d\u0435\u043f\u043e\u043b\u043d\u043e\u0439 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438).<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Quimioterapia  <\/strong><\/li>\n<\/ol>\n<p>No es un tratamiento est\u00e1ndar para el quimiodectoma carot\u00eddeo, ya que la mayor\u00eda de los tumores son de crecimiento lento y naturaleza benigna. Sin embargo, en casos raros de curso maligno (progresi\u00f3n r\u00e1pida, lesiones metast\u00e1sicas) o en formas metast\u00e1sicas inoperables, puede utilizarse terapia sist\u00e9mica. <\/p>\n<ol start=\"4\" class=\"wp-block-list\">\n<li><strong><strong>\u0420\u0430\u0434\u0438\u043e\u043d\u0443\u043a\u043b\u0438\u0434\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u00b9\u2077\u2077Lu-DOTATATE (PRRT)\u00a0<\/strong><\/strong><\/li>\n<\/ol>\n<p>Se prescribe en presencia de expresi\u00f3n de receptores de somatostatina mediante PET con \u2076\u2078\u2078Ga-DOTATATO.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. \u00bfEl quimiodectoma carot\u00eddeo es un tumor maligno?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0412 \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u2014 \u043d\u0435\u0442. \u041a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u0430\u044f \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430 \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0441\u044f \u043a \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c, \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u043e \u0440\u0430\u0441\u0442\u0443\u0449\u0438\u043c \u043e\u043f\u0443\u0445\u043e\u043b\u044f\u043c. \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u043c\u0443\u0442\u0430\u0446\u0438\u0439 \u0433\u0435\u043d\u0430 <em>SDHB<\/em> \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0439 \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b \u0441 \u043c\u0435\u0442\u0430\u0441\u0442\u0430\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435\u043c.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u041c\u043e\u0436\u043d\u043e \u043b\u0438 \u043f\u0440\u043e\u0441\u0442\u043e \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0442\u044c \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u0443\u044e \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0443, \u043d\u0435 \u0443\u0434\u0430\u043b\u044f\u044f \u0435\u0435?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0414\u0430, \u0432 \u043d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0435\u0441\u043b\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u044c \u043d\u0435\u0431\u043e\u043b\u044c\u0448\u0430\u044f (< 2,5 \u0441\u043c), \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u0430\u044f, \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u043f\u043e\u0436\u0438\u043b\u043e\u0439 \u0432\u043e\u0437\u0440\u0430\u0441\u0442 \u0438\u043b\u0438 \u0435\u0441\u0442\u044c \u043f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f \u043a \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438. \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0430\u0445 \u0440\u043e\u0441\u0442\u0430 \u0438\u043b\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0441\u0438\u0438 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440 \u0448\u0435\u0438 \u0442\u0440\u0435\u0431\u0443\u0435\u0442\u0441\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u0435.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3 \u00bfEs peligrosa la cirug\u00eda para extirpar un quimiodectoma carot\u00eddeo?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Los riesgos dependen del tama\u00f1o y la localizaci\u00f3n del tumor. Con masas grandes, es posible que se produzcan complicaciones, como lesiones de los nervios craneales, hemorragias e isquemias. A menudo se realiza una embolizaci\u00f3n preoperatoria para reducir los riesgos.  <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. \u00bfEs necesario examinar a otros miembros de la familia si me diagnostican un quimiodectoma?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0415\u0441\u043b\u0438 \u0443 \u0432\u0430\u0441 \u0432\u044b\u044f\u0432\u043b\u0435\u043d\u0430 \u043d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043c\u0443\u0442\u0430\u0446\u0438\u044f (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, <em>SDHD<\/em>, <em>SDHB<\/em>), \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0438 \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u0431\u043b\u0438\u0436\u0430\u0439\u0448\u0438\u0445 \u0440\u043e\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0438\u043a\u043e\u0432, \u043f\u043e\u0441\u043a\u043e\u043b\u044c\u043a\u0443 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0441\u0435\u043c\u0435\u0439\u043d\u044b\u043c.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. \u00bfC\u00f3mo puede distinguirse el quimiodectoma carot\u00eddeo de otros tumores de cuello?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">El quimiodectoma carot\u00eddeo suele localizarse en la bifurcaci\u00f3n de la arteria car\u00f3tida com\u00fan, es puls\u00e1til, est\u00e1 desplazado horizontalmente pero no verticalmente y muestra el caracter\u00edstico \u00absigno de la lira\u00bb en la <span class=\"glossary-term\" data-title=\"Tomograf\u00eda computarizada\" data-tooltip=\"Tomograf\u00eda computarizada - es un m\u00e9todo de radiodiagn\u00f3stico que se basa en la aplicaci\u00f3n de rayos X para obtener im\u00e1genes capa por capa (secciones) de los \u00f3rganos y de los tejidos internos. Es uno de los m\u00e9todos l\u00edderes de visualizaci\u00f3n en la medicina moderna de alta capacidad informativa.\" data-link=\"https:\/\/wiki.dev.voka.io\/es\/glosario\/tc-tomografia-computarizada\/\">TC<\/span>\/<span class=\"glossary-term\" data-title=\"IRM (imagen por resonancia magn\u00e9tica)\" data-tooltip=\"La imagen por resonancia magn\u00e9tica (IRM) es una t\u00e9cnica moderna no invasiva de diagn\u00f3stico por imagen que permite obtener im\u00e1genes seccionales de \u00f3rganos y tejidos internos con un alto nivel de detalle. Se basa en el fen\u00f3meno de la resonancia magn\u00e9tica nuclear. La ventaja clave de la IRM es la ausencia de radiaci\u00f3n ionizante.\" data-link=\"https:\/\/wiki.dev.voka.io\/es\/glosario\/irm\/\">RM<\/span>. El diagn\u00f3stico se aclara mediante pruebas de imagen y angiograf\u00eda. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. \u00bfPuede un quimiodectoma causar dolor o molestias?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">En la mayor\u00eda de los casos, no, sobre todo en las fases iniciales. Sin embargo, a medida que el tumor crece, puede ejercer presi\u00f3n sobre nervios y vasos sangu\u00edneos, provocando dolor, ronquera, problemas para tragar o mareos. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. \u00bfExiste riesgo de recidiva tras la extirpaci\u00f3n del tumor?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041f\u0440\u0438 \u043f\u043e\u043b\u043d\u043e\u043c \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0438 \u043e\u043f\u0443\u0445\u043e\u043b\u0438 \u0440\u0438\u0441\u043a \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0430 \u043d\u0438\u0437\u043a\u0438\u0439 (\u043c\u0435\u043d\u0435\u0435 5 %). \u041e\u0434\u043d\u0430\u043a\u043e \u043f\u0440\u0438 \u043d\u0435\u043f\u043e\u043b\u043d\u043e\u0439 \u0440\u0435\u0437\u0435\u043a\u0446\u0438\u0438, \u043d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0439 \u0444\u043e\u0440\u043c\u0435 \u0438\u043b\u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 <em>SDHB<\/em>-\u043c\u0443\u0442\u0430\u0446\u0438\u0438, \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0440\u0435\u0446\u0438\u0434\u0438\u0432 \u0438\u043b\u0438 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043d\u043e\u0432\u044b\u0445 \u043e\u0447\u0430\u0433\u043e\u0432. \u0412 \u0442\u0430\u043a\u0438\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445 \u0432\u0430\u0436\u043d\u043e \u0434\u043e\u043b\u0433\u043e\u0441\u0440\u043e\u0447\u043d\u043e\u0435 \u043d\u0430\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fuentes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fuentes<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Luna-Ortiz K, Reynoso-Nover\u00f3n N, Herrera-Ponzanelli C, Favila-Lira S, Luna-Peteuil Z, Herrera-Gomez A, et al. Sex differences according to ethnic presentation in carotid body tumors: a systematic literature review. Int J Otorhinolaryngol Head Neck Surg. 2022 Jun;8(6):527-531. doi: 10.18203\/issn.2454-5929.ijohns20221393. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Butt N, Baek WK, Lachkar S, Iwanaga J, Mian A, Blaak C, et al. The carotid body and associated tumors: updated review with clinical\/surgical significance. Br J Neurosurg. 2019 Oct;33(5):500-503. doi: 10.1080\/02688697.2019.1617404.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Darouassi Y, Alaoui M, Mliha Touati M, Al Maghraoui O, En-Nouali A, Bouaity B, Ammar H. Carotid Body Tumors: A Case Series and Review of the Literature. Ann Vasc Surg. 2017 Aug;43:265-271. doi: 10.1016\/j.avsg.2017.03.167.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Gonzalez-Urquijo M, Castro-Varela A, Barrios-Ruiz A, Hinojosa-Gonzalez DE, Salas AKG, Morales EA, et al. Current trends in carotid body tumors: comprehensive review. Head Neck. 2022 Oct;44(10):2316-2332. doi: 10.1002\/hed.27147.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ozawa H. Current management of carotid body tumors. Auris Nasus Larynx. 2024 Jun;51(3):501-506. doi: 10.1016\/j.anl.2024.01.007.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Piazza C, Lancini D, Tomasoni M, Zafereo M, Poorten VV, Hanna E, et al. Malignant carotid body tumors: what we know, what we do, and what we need to achieve. A systematic review of the literature. Head Neck. 2024 Mar;46(3):672-687. doi: 10.1002\/hed.27624.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u041f\u0430\u0440\u0430\u0433\u0430\u043d\u0433\u043b\u0438\u043e\u043c\u0430 \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u044c\u0446\u0430 (\u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430) \u2014 \u0440\u0435\u0434\u043a\u0430\u044f, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u0434\u043e\u0431\u0440\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u0430\u044f \u043e\u043f\u0443\u0445\u043e\u043b\u044c, \u0432\u043e\u0437\u043d\u0438\u043a\u0430\u044e\u0449\u0430\u044f \u0438\u0437 \u0445\u0435\u043c\u043e\u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043d\u044b\u0445 \u043a\u043b\u0435\u0442\u043e\u043a \u043a\u0430\u0440\u043e\u0442\u0438\u0434\u043d\u043e\u0433\u043e \u0442\u0435\u043b\u0430, \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u0432 \u043c\u0435\u0441\u0442\u0435 \u0431\u0438\u0444\u0443\u0440\u043a\u0430\u0446\u0438\u0438 \u043e\u0431\u0449\u0435\u0439 \u0441\u043e\u043d\u043d\u043e\u0439 \u0430\u0440\u0442\u0435\u0440\u0438\u0438. Epidemiolog\u00eda Etiolog\u00eda \u0413\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u2014 \u0432\u0435\u0434\u0443\u0449\u0443\u044e \u0440\u043e\u043b\u044c \u0438\u0433\u0440\u0430\u044e\u0442 \u043c\u0443\u0442\u0430\u0446\u0438\u0438 \u0432 \u0433\u0435\u043d\u0430\u0445, \u043a\u043e\u0434\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u0441\u0443\u0431\u044a\u0435\u0434\u0438\u043d\u0438\u0446\u044b \u0441\u0443\u043a\u0446\u0438\u043d\u0430\u0442\u0434\u0435\u0433\u0438\u0434\u0440\u043e\u0433\u0435\u043d\u0430\u0437\u043d\u043e\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 (SDH), \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0443\u0447\u0430\u0441\u0442\u0432\u0443\u0435\u0442 \u0432 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0446\u0435\u043f\u0438 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439 \u0438 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u043c \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0437\u043c\u0435. \u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u0433\u0435\u043d\u044b: \u0421\u0438\u043d\u0434\u0440\u043e\u043c\u044b, \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u0445\u0435\u043c\u043e\u0434\u0435\u043a\u0442\u043e\u043c\u0430\u043c\u0438:\u00a0 \u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0433\u0438\u043f\u043e\u043a\u0441\u0438\u044f [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[268],"class_list":["post-798","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-sistema-vascular"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Paraganglioma del cuerpo carot\u00eddeo (quimiodectoma) del cuello: s\u00edntomas, diagn\u00f3stico, tratamiento<\/title>\n<meta name=\"description\" content=\"El paraganglioma (quimiodectoma) es un tumor raro, predominantemente benigno, de c\u00e9lulas quimiorreceptoras en la zona de la bifurcaci\u00f3n carot\u00eddea. 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