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Acharya S, Anwar S, Thapa K, Thapa S, Lau M. Pulmonary Glomus Tumor. Cureus 2023; 15:e38684. [PMID: 37292573 PMCID: PMC10246930 DOI: 10.7759/cureus.38684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2023] [Indexed: 06/10/2023] Open
Abstract
Glomus tumors, which account for less than 2% of soft tissue tumors, are a rare benign soft tissue neoplasm. They originated from neuro-myo-arterial glomus tissue whose primary function is regulation of the body temperature. This tissue is commonly located in the dermis or subcutis in the subungual region; however, it can be extracutaneous such as in bones, the genitourinary tract, the gastrointestinal tract, and the respiratory tract. Histologically, a glomus tumor is made of proliferating rounded or cuboidal epithelioid cells in a meshwork of blood vessels. Although a benign growth, they can rarely show malignant features with infiltration of surrounding tissue with the rapid multiplication of cells in which case it is labeled as a malignant glomus tumor. Pulmonary glomus tumors are extremely rare and most commonly occur in middle-aged men. They are mostly asymptomatic, but a small percentage of patients may present with hemoptysis and cough if there is large airway involvement. We present an interesting case of a middle-aged man presenting with cough and occasional hemoptysis, found to have an endobronchial nodular lesion, and subsequently diagnosed with a pulmonary glomus tumor.
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Affiliation(s)
- Sudeep Acharya
- Pulmonary and Critical Care Medicine, Staten Island University Hospital, Staten Island, USA
| | | | - Kumar Thapa
- Internal Medicine, Staten Island University Hospital, Staten Island, USA
| | - Sakura Thapa
- Internal Medicine, Green City Hospital, Kathmandu, NPL
| | - Michael Lau
- Internal Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA
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Yang C, Li S, Liang Z, Jiang L. Case Report: The first case of primary pulmonary collision tumor comprising mixed squamous cell and glandular papilloma and glomus tumor. Front Oncol 2022; 12:1050220. [DOI: 10.3389/fonc.2022.1050220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 10/28/2022] [Indexed: 11/22/2022] Open
Abstract
A collision tumor is a rare entity, particularly if occurring in the lung. We report a case of a 57-year-old woman with a primary pulmonary collision tumor comprising mixed squamous cell and glandular papilloma (MSGP) and glomus tumor (GT). An abnormal mass was discovered in the right lung by computed tomography (CT) of the chest. A right lower lobectomy with mediastinal lymph node dissection was performed. Histological examination of the surgical specimen suggested that the lung cancer was composed of two neoplastic components. To the best of our knowledge, this is the first report of a primary pulmonary collision tumor comprising two benign tumors of different origins, which were MSGP and GT.
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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
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Kamboj M, Durga G, Pasricha S, Darlong LM, Jajodia A, Gupta G, Sharma A, Koyyala VPB, Mehta A. Synaptophysin Positive Glomus Tumor of Trachea Simulating Typical Carcinoid: A Potential trap. Head Neck Pathol 2020; 15:994-998. [PMID: 33025460 PMCID: PMC8385084 DOI: 10.1007/s12105-020-01230-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
Glomus tumors (GTs) are uncommon benign tumors, accounting for <2% of all soft tissue tumors and usually occur within the dermis or subcutis of distal extremities. Primary tracheal GT is rare, and to date less than 40 tracheal GTs have been reported. Tracheal GT usually present as a polypoidal mass. They express smooth muscle markers, and are negative for cytokeratin (CK) and neuroendocrine markers on immunohistochemistry (IHC). We here report a case of tracheal GT showing diffuse strong aberrant immunoexpression for synaptophysin, initially construed as carcinoid. Focal synaptophysin expression has been described in few gastric GTs, and a nasal GT. Diligent histomorphological examination and careful selection of IHC panel helps in clinching the diagnosis. Complete resection is the standard treatment of modality.
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Affiliation(s)
- Meenakshi Kamboj
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Garima Durga
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Sunil Pasricha
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - L. M. Darlong
- grid.418913.60000 0004 1767 8280Department of Thoracic Oncosurgery, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Ankush Jajodia
- grid.418913.60000 0004 1767 8280Department of Radiology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Gurudutt Gupta
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Anila Sharma
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Venkata Pradeep Babu Koyyala
- grid.418913.60000 0004 1767 8280Department of Medical Oncology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
| | - Anurag Mehta
- grid.418913.60000 0004 1767 8280Department of Histopathology and Cytopathology, Rajiv Gandhi Cancer Institute & Research Centre, Delhi, 110085 India
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Kumar N, Lata K, Barwad A, Rastogi S, Kumar S. Tracheal glomus tumor: An aggressive rare neoplasm. Lung India 2020; 37:285-286. [PMID: 32367860 PMCID: PMC7353936 DOI: 10.4103/lungindia.lungindia_544_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Navin Kumar
- Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
| | - Kanak Lata
- Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Adarsh Barwad
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Sameer Rastogi
- Department of Medical Oncology, All India Institute of Medical Sciences, New Delhi, India
| | - Sunil Kumar
- Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
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Hamilton AR, Paton A, Downie JJ. Glomangioma: rare case of a painful lump in the upper lip. Br J Oral Maxillofac Surg 2019; 57:788-790. [PMID: 31345579 DOI: 10.1016/j.bjoms.2019.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 07/04/2019] [Indexed: 11/17/2022]
Abstract
Glomus tumours in the lip are extremely rare with only 13 cases, including this one, recorded in the English language that we know of. We report a 45-year-old woman with a firm, mildly painful lump in her upper lip. Excisional biopsy examination and histopathological analysis showed it to be a subtype of glomus tumour called a glomangioma.
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Affiliation(s)
- A R Hamilton
- Oral and Maxillofacial Department, Forth Valley Royal Hospital, Stirling Road, Larbert, FK5 4WR, UK.
| | - A Paton
- Oral and Maxillofacial Department, Forth Valley Royal Hospital, Stirling Road, Larbert, FK5 4WR, UK
| | - J J Downie
- Oral and Maxillofacial Department, Forth Valley Royal Hospital, Stirling Road, Larbert, FK5 4WR, UK.
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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.
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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
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Nakajima E, Takashi H, Taira O, Fukuda K, Furukawa K, Hirano H, Ikeda N. Glomus Tumor in a Segmental Bronchus: A Case Report. Ann Thorac Cardiovasc Surg 2019; 27:407-409. [PMID: 31189773 PMCID: PMC8684842 DOI: 10.5761/atcs.cr.19-00081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Glomus tumors originate from a neuroarterial structure called the glomus body, and grow mostly in soft tissue. It is rare for glomus tumors to develop in the respiratory system. The patient of the present case had an abnormal shadow in the right lung on chest X-ray, and computed tomography (CT) findings displayed a lung tumor in the right S6. Bronchoscopy was performed for the diagnosis of the lung tumor, and a polypoid bronchial tumor was unexpectedly found to occupy the right B3. The bronchial tumor was diagnosed as a glomus tumor, and the lung tumor was diagnosed as an adenocarcinoma. The bronchial glomus tumor was cauterized by argon plasma coagulation (APC). Three weeks after the cauterization by APC, the right lower lobectomy was performed for the treatment of the lung adenocarcinoma. The patient has remained disease free for 2 years.
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Affiliation(s)
- Eiji Nakajima
- Department of Thoracic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami-machi, Ibaraki, Japan
| | - Hidenobu Takashi
- Department of Thoracic Surgery, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Osamu Taira
- Department of Surgery, Migita Hospital, Hachioji, Tokyo, Japan
| | - Kentarou Fukuda
- Department of Surgery, Tokyo Medical University, Tokyo, Japan
| | - Kinya Furukawa
- Department of Thoracic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami-machi, Ibaraki, Japan
| | - Hiroshi Hirano
- Department of Diagnostic Pathology, Tokyo Medical University Hachioji Medical Center, Hachioji, Tokyo, Japan
| | - Norihiko Ikeda
- Department of Surgery, Tokyo Medical University, Tokyo, Japan
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Behavior of primary tracheal glomus tumor, uncertain malignant potential subtype. Gen Thorac Cardiovasc Surg 2019; 67:991-995. [DOI: 10.1007/s11748-019-01085-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Accepted: 02/03/2019] [Indexed: 12/22/2022]
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