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Venegas O, Newton A, Vergara N, Singhal S, Predina JD. Tracheal Glomus Tumor: A Case Report and Review of the Literature. Rare Tumors 2017; 9:6848. [PMID: 28458792 PMCID: PMC5379231 DOI: 10.4081/rt.2017.6848] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Accepted: 12/20/2016] [Indexed: 12/18/2022] Open
Abstract
Glomus tumors are rare neoplasms that typically occur within the dermis or subcutis of the subungual space. Primary glomus tumors of the thorax are exceedingly uncommon, thus standard-of-care management is lacking. In this report we describe the management of a patient presenting with a symptomatic glomus tumor of the posterior trachea, and provide a comprehensive review including all documented tracheal glomus tumor reports.
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Affiliation(s)
- Ollin Venegas
- Division of Thoracic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Andrew Newton
- Division of Thoracic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Norge Vergara
- Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Sunil Singhal
- Division of Thoracic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Jarrod D Predina
- Division of Thoracic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
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Honsawek S, Kitidumrongsook P, Luangjarmekorn P, Pataradool K, Thanakit V, Patradul A. Glomus tumors of the fingers: Expression of vascular endothelial growth factor. World J Orthop 2016; 7:843-846. [PMID: 28032039 PMCID: PMC5155262 DOI: 10.5312/wjo.v7.i12.843] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 07/20/2016] [Accepted: 09/22/2016] [Indexed: 02/06/2023] Open
Abstract
Glomus tumors are uncommon, benign, small neurovascular neoplasms derived from glomus bodies in the reticular dermis. Glomus bodies are found throughout the body to regulate body temperature and skin circulation; however, they are concentrated in the fingers and the sole of the foot. The typical presentation is a solitary nodule in the subungual or periungual area of the distal phalanx. The primary treatment of choice is surgical removal. We investigated expression of vascular endothelial growth factor (VEGF) using immunohistochemistry in glomus tumors of the fingers. All five glomus tumor samples were positive for VEGF expression. VEGF immunoreactivity was largely localized to the cytoplasm of tumor cells, suggesting a contribution of VEGF to the vascularization of glomus tumors.
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Fernandez-Bussy S, Labarca G, Rodriguez M, Mehta HJ, Jantz M. Concomitant tracheal and subcutaneous glomus tumor: Case report and review of the literature. Respir Med Case Rep 2015; 16:81-5. [PMID: 26744663 PMCID: PMC4681967 DOI: 10.1016/j.rmcr.2015.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2015] [Accepted: 08/06/2015] [Indexed: 11/13/2022] Open
Abstract
Glomus tumors are unusual and generally benign neoplasms mainly found in subungeal areas. We describe a case of concomitant subcutaneous and tracheal glomus tumor that underwent successful endoscopic resection. A 48-year old male with a left forearm subcutaneous mass presented with hemoptysis. A chest CT scan demonstrated a polypoid tracheal lesion. He underwent a bronchoscopic resection. A biopsy revealed a glomus tumor, which was the same type of neoplasm that was found on the forearm biopsy. Glomus tumors are rarely found in the respiratory tract. Only 49 cases have been described. The majority of the glomus tumors arise from the lower posterior tracheal wall with no extraluminal extension. Bronchoscopic resection has been successfully used. Glomus tumors should be included in the differential diagnosis of tracheobronchial lesions. Bronchoscopic resection and adjuvant radiotherapy are valid treatment options. This is the first report of concomitant subcutaneous and tracheal glomus tumor, as well as the first reported airway glomus tumor, in Latin America. As part of this study, we also perform a literature review.
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Affiliation(s)
| | - Gonzalo Labarca
- Resident of Internal Medicine Interna, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Macarena Rodriguez
- Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Hiren J Mehta
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Florida, USA
| | - Michael Jantz
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Florida, USA
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Lin F, Yang M, Pu Q, Ma L, Liu C, Mei J, Guo C, Liu L. Malignant glomus tumor in pleural cavity. J Thorac Dis 2015; 7:E126-30. [PMID: 26101658 DOI: 10.3978/j.issn.2072-1439.2015.04.50] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 04/10/2015] [Indexed: 02/05/2023]
Abstract
Glomus tumors, an uncommon hypervascular tumor, arise from modified smooth muscle cells of the glomus body that plays a significant role in the regulation of skin circulation. The tumors are usually located in the extremities, typically in the subungual region of the fingers. Primary glomus tumors of the chest are extremely rare, and to our knowledge, there are no cases have been described in thoracic cavity to date. We here report a case of intrathoracic glomus tumor in a 31-year-old man who presented with a persistent chest pain. Chest computed tomography scans demonstrated an irregularly shaped mass in the left thorax. Left thoracotomy was performed under the suspicious diagnosis of unexplained thorax tumor, and a tumor located in the left upper portion of thorax was founded. Complete resection of tumor along with the partial structure of chest wall was performed. Postoperative diagnosis was malignant glomus tumor.
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Affiliation(s)
- Feng Lin
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Mei Yang
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Qiang Pu
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Lin Ma
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Chengwu Liu
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Jiandong Mei
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Chenglin Guo
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
| | - Lunxu Liu
- 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ; 2 Department of Thoracic Surgery, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China
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