Shamblin Classification

  • The Shamblin classification is used to predict surgical morbidity in the excision of carotid body tumours (also known as carotid body paragangliomas or chemodectomas).
  • Shamblin et al divided carotid body tumours into 3 types:1
    • Type I tumours are localized tumours with minimal vascular attachments. These are easily amenable to surgical excision.
    • Type II tumours partially surround the carotids. These are amenable to careful surgical excision.
    • Type III tumours encase the carotids. Surgical resection is difficult and may require temporary interruption of cerebral circulation and vessel replacement.
  • Carotid body tumours are also often associated with Fontaine’s sign and the Lyre sign.

Shamblin Classification of carotid body tumours

  1. Shamblin, William R., et al. “Carotid body tumor (chemodectoma): clinicopathologic analysis of ninety cases.” The American Journal of Surgery 122.6 (1971): 732-739. 

Last updated October 17, 2022