1
|
Yeom JA, Jeong YJ, Ahn HY, Eom JS, Lee CH, Hwang MH. Tracheal Glomus Tumor: A Case Report with CT Imaging Features. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58060791. [PMID: 35744054 PMCID: PMC9229945 DOI: 10.3390/medicina58060791] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 06/05/2022] [Accepted: 06/06/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND OBJECTIVES Glomus tumors are rare benign tumors. The majority of them affect the skin the most and are rarer in the trachea, where the glomus bodies may not be present. Only scarce reports of tracheal glomus tumors have been reported solely with case reports of relevant articles. MATERIALS AND METHODS A 53-year-old man, with a free previous medial history, presented to our hospital with tracheal mass which was incidentally found. He did not complain of any specific symptoms associated with the tracheal tumor. The contrast-enhanced chest computed tomography (CT) revealed an avid enhancing nodular lesion, which is similar to blood vessels, in the trachea, 3 cm above the carina level without definite airway obstruction. RESULTS Successful tracheal resection and end-to-end anastomosis were performed on the patients; therefore, the final post-operative pathologic findings revealed a benign tracheal glomus tumor. The follow-up CT scan four months after operation showed complete removal of the tumor. CONCLUSION Tracheal glomus tumors, even rare entities, could be considered as a differential diagnosis if a highly enhancing mass appears on CT images.
Collapse
Affiliation(s)
- Jeong-A Yeom
- Department of Radiology, Pusan National University Yangsan Hospital, Yangsan-si 50612, Korea;
| | - Yeon-Joo Jeong
- Department of Radiology, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Korea;
| | - Hyo-Yeong Ahn
- Department of Thoracic and Cardiovascular Surgery, Medial Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Korea;
| | - Jung-Seop Eom
- Department of Internal Medicine, Pusan National University School of Medicine, Busan 49241, Korea;
| | - Chang-Hun Lee
- Department of Pathology, Medial Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Korea;
| | - Min-Hee Hwang
- Department of Radiology, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan 49241, Korea;
- Correspondence:
| |
Collapse
|
2
|
Rovira A, Bartel R, Simo R. Glomus tumour of the cervical trachea, report of a case and review of the literature. OTOLARYNGOLOGY CASE REPORTS 2021. [DOI: 10.1016/j.xocr.2021.100355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
3
|
Hartert M, Wolf M, Marko C, Huertgen M. Glomus tumor of the trachea - Synopsis of histology & methodology of treatment. Respir Med Case Rep 2019; 28:100905. [PMID: 31341765 PMCID: PMC6630016 DOI: 10.1016/j.rmcr.2019.100905] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 07/07/2019] [Accepted: 07/08/2019] [Indexed: 11/18/2022] Open
Abstract
Glomus tumors are neoplasms arising from modified smooth muscle cells surrounding arteriovenous anastomosis in the dermis and subcutaneous tissues, which are contributing to blood flow regulation and temperature control on the skin surface. Glomus cells are sparse or absent in visceral organs, making extracutaneous presentation of glomus tumors an extremely rare finding. We briefly report histological considerations on glomus tumors of the trachea and sum the multidisciplinary aspects of their staged endoscopic and surgical management using the example of a rare case presentation.
Collapse
Affiliation(s)
- Marc Hartert
- Department of Thoracic Surgery, Katholisches Klinikum Koblenz-Montabaur, Koblenz, Germany
- Corresponding author. Department of Thoracic Surgery, Katholisches Klinikum Koblenz-Montabaur, Rudolf-Virchow-Str. 7-9, 56073, Koblenz, Germany.
| | - Michael Wolf
- Department of Thoracic Surgery, Katholisches Klinikum Koblenz-Montabaur, Koblenz, Germany
| | | | - Martin Huertgen
- Department of Thoracic Surgery, Katholisches Klinikum Koblenz-Montabaur, Koblenz, Germany
| |
Collapse
|
4
|
Abstract
RATIONALE Glomus tumors (GTs) are rare soft tissue neoplasms. Several treatment options have been reported for tracheal GTs including thoracotomy, bronchoscopic electrocautery, Nd: YAG laser, and cryotherapy. However, few studies have evaluated the ideal treatment for tracheal GTs. PATIENT CONCERNS A 30-year old man who presented with cough, and expectoration for 1 month, and who had been diagnosed as having a tracheal neoplasm by cervical, and thoracic computed tomography (CT). The patient was a47 years old man. He was admitted to our hospital presenting with intermittent hemoptysis for 3 years. Thoracic CT revealed a round tumor on the right posterior tracheal wall. DIAGNOSES Both of them were diagnosed as benign GTs. Histopathology of the tumor showed clusters of round epithelioid cells with eosinophilic cytoplasm, and uniform round to ovoid nuclei surrounding dilated capillaries. Immunohistochemical staining was positive for smooth muscle actin (SMA). INTERVENTIONS The tracheal tumor of first patient was located at the level of C7-T1. Tumor resection was performed under fiberoptic bronchoscopy. The tracheal tumor in second patient was located in the lower trachea. Surgical tracheal resection and anastomosis were performed. OUTCOMES Both of them achieved good results and no recurrence was seen at the final follow-up LESSONS:: We recommend choosing the most appropriate approach to manage tracheal GTs based on patients' general condition, and tumor characteristics to obtain an excellent prognosis. Our 2 cases of tracheal GT were managed by different approaches, and both achieved good results.
Collapse
Affiliation(s)
- Li Guo
- Department of Respiratory and Critical Care Medicine
| | - Ke Wang
- Department of Respiratory and Critical Care Medicine
| | - Hui Zhu
- Department of Respiratory and Critical Care Medicine
| | | | - Daxing Zhu
- Department of Thoracic Sugery, Sichuan University, West China Hospital, Chengdu, China
| |
Collapse
|
5
|
Abstract
We present a case of a glomus tumor of trachea in an elderly female who presented with a mass originating from the posterior trachea. She underwent rigid bronchoscopy with tumor debulking combined with laser therapy. Frozen section initially suggested carcinoid tumor but later turned out to be a glomus tumor. She improved with additional laser therapy. We present her clinical course and a literature review on glomus tumor.
Collapse
Affiliation(s)
- Parth Rali
- Division of Pulmonary and Critical Care, Allegheny General Hospital, Pittsburgh, PA, USA
| | - Namrata Jasani
- Divison of Pulmonary Medicine, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
| | - Hammad Arshad
- Division of Pulmonary and Critical Care, Allegheny General Hospital, Pittsburgh, PA, USA
| | - Jianwu Xie
- Department of Pathology, Allegheny General Hospital, Pittsburgh, PA, USA
| | - Marvin Balaan
- Division of Pulmonary and Critical Care, Allegheny General Hospital, Pittsburgh, PA, USA
| |
Collapse
|
6
|
Glomangioma of the Kidney: A Rare Case of Glomus Tumor and Review of the Literature. Case Rep Pathol 2017; 2017:7423642. [PMID: 28698815 PMCID: PMC5494058 DOI: 10.1155/2017/7423642] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Accepted: 05/24/2017] [Indexed: 11/17/2022] Open
Abstract
Background Glomus tumors are rare mesenchymal tumors originating from glomus bodies in the skin. Glomus tumors of the kidney are rare tumors and only a few cases have been reported in the medical literature. An extensive search revealed a very limited number of primary renal glomus tumors. Although most of these cases were benign in nature, including a case with uncertain diagnosis of malignant potential, two were malignant. Case Report We present a unique case of a 57-year-old male patient with an incidentally discovered 2 cm left renal mass. Histopathology examination and immunohistochemical studies confirm the diagnosis of glomangioma (a form of glomus tumor). The patient was followed for one year after partial nephrectomy and showed a benign course without any evidence of local recurrence or metastasis. Conclusion To the best of our knowledge, this is the 16th case of primary benign renal glomus tumors. Primary renal glomus tumors are rare and may mimic other mesenchymal renal neoplasms radiologically. Proper investigation (including histopathological analysis and immunohistochemical staining) of kidney tumors is essential to make the diagnosis of glomus tumors, which usually show a benign clinical course following resection.
Collapse
|
7
|
He J, Shen J, Huang J, Dai C, Liang W, Ye M, Kong M, Chen B, Zhu C, He J. Prognosis of primary tracheal tumor: A population-based analysis. J Surg Oncol 2017; 115:1004-1010. [PMID: 28407313 DOI: 10.1002/jso.24611] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 02/14/2017] [Accepted: 02/16/2017] [Indexed: 12/17/2022]
Affiliation(s)
- Jiaxi He
- Department of Thoracic Surgery; the First Affiliated Hospital of Guangzhou Medical University; Guangzhou China
- Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease; Guangzhou China
- National Clinical Research Center for Respiratory Disease; Guangzhou China
| | - Jianfei Shen
- Zhejiang Taizhou Hospital; Linhai Zhejiang China
| | - Jun Huang
- Department of Thoracic Surgery; the First Affiliated Hospital of Guangzhou Medical University; Guangzhou China
- Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease; Guangzhou China
- National Clinical Research Center for Respiratory Disease; Guangzhou China
| | - Chenyang Dai
- Shanghai Pulmonary Hospital; Tongji University School of Medicine; Shanghai China
| | - Wenhua Liang
- Department of Thoracic Surgery; the First Affiliated Hospital of Guangzhou Medical University; Guangzhou China
- Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease; Guangzhou China
- National Clinical Research Center for Respiratory Disease; Guangzhou China
| | - Minhua Ye
- Zhejiang Taizhou Hospital; Linhai Zhejiang China
| | - Min Kong
- Zhejiang Taizhou Hospital; Linhai Zhejiang China
| | - Baofu Chen
- Zhejiang Taizhou Hospital; Linhai Zhejiang China
| | - Chengchu Zhu
- Zhejiang Taizhou Hospital; Linhai Zhejiang China
| | - Jianxing He
- Department of Thoracic Surgery; the First Affiliated Hospital of Guangzhou Medical University; Guangzhou China
- Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease; Guangzhou China
- National Clinical Research Center for Respiratory Disease; Guangzhou China
| |
Collapse
|
8
|
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.
Collapse
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
| |
Collapse
|
9
|
Braham E, Zairi S, Mlika M, Ayadi-Kaddour A, Ismail O, El Mezni F. Malignant glomus tumor of trachea: a case report with literature review. Asian Cardiovasc Thorac Ann 2015; 24:104-6. [PMID: 26420909 DOI: 10.1177/0218492315608546] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Glomus tumors of the trachea are extremely rare and generally benign, with very few cases of malignant transformation reported in literature. We present the case of a 74-year-old man explored for cough and dyspnea. Bronchoscopy showed a polypoid mass arising from the posterolateral tracheal wall. Computed tomography demonstrated a mid-tracheal tissular mass obliterating the tracheal lumen. Resection and anastomosis of the trachea were performed. The histological and immunohistochemical findings were consistent with malignant glomus tumor.
Collapse
Affiliation(s)
- Emna Braham
- Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia
| | - Sara Zairi
- Department of Thoracic Surgery, Abderrahman Mami Hospital, Ariana, Tunisia
| | - Mouna Mlika
- Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia
| | | | - Olfa Ismail
- Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia
| | - Faouzi El Mezni
- Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia
| |
Collapse
|
10
|
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.
Collapse
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
| |
Collapse
|
11
|
Wang H, Xie J, Tan Y, Jiang J. Glomus tumor of the trachea: a rare case report. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2015; 8:9723-9726. [PMID: 26464745 PMCID: PMC4583977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/20/2015] [Accepted: 07/26/2015] [Indexed: 06/05/2023]
Abstract
A tracheal glomus tumor is extremely rare. There were approximately 18 reported cases before in China. Here we report a 48-year-old male with glomus tumor of the trachea. The computed tomography (CT) scan of the chest showed a nodulein the basalsegmentof right lower lobe, focal uplift in the left-posterior wall of the trachea, measured 1.5×1.2×1.0 cm. Microscopically, the tumor tissue was rich with vessels, shaped flake-nest, and the tumor consisted of a sheet of uniform cells surrounding the vascular spaces. Immumohistochemical staining were positive for SMA, vimentin, collagen IV, CD34, the Ki-67 proliferation activity was low (<1%), and were negative for Syn, CgA, S-100, AE1/AE3 and EMA. PSA staining showing clear cell borders. With a review of the literature, the clinical, pathological characteristics and treatment modalities of this rare tumor are discussed.
Collapse
Affiliation(s)
- Hui Wang
- Department of Pathology, The Third Affiliated Hospital of Soochow University185 Juqian Street, Changzhou 213003, P. R. China
| | - Jun Xie
- Department of Pathology, The Third Affiliated Hospital of Soochow University185 Juqian Street, Changzhou 213003, P. R. China
| | - Yan Tan
- Department of Pathology, The Third Affiliated Hospital of Soochow University185 Juqian Street, Changzhou 213003, P. R. China
| | - Jingting Jiang
- Department of Tumor Biological Treatment, The Third Affiliated Hospital of Soochow UniversityChangzhou 213003, P. R. China
| |
Collapse
|