Takahashi Nobumasa, Oizumi Hiroyuki, Yanagawa Naoki, Sadahiro Mitsuaki
Second Department of Surgery, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan.
Interact Cardiovasc Thorac Surg. 2006 Jun;5(3):258-60. doi: 10.1510/icvts.2005.122366. Epub 2006 Feb 16.
Extracutaneous glomus tumors are unusual and their occurrence in bronchus has been recognized with rarity. We present the clinical and pathological features of a case with bronchial glomus tumor. A 67-year-old man was admitted with a symptom of cough, and his chest CT scan and fiberoptic bronchoscopy demonstrated a localized polypoid tumor in the right superior bronchial trunk. Histology of the biopsy specimen by bronchoscopy was demonstrated as a typical carcinoid tumor. The tumor was surgically resected by a segmental resection of the right superior bronchial trunk and end-to-end anastomosis was followed to reconstruct the airway tract through a standard right side thoracotomy approach. The pathological and immunohistochemical findings resulted in the diagnosis of the tumor as a bronchial glomus tumor.
皮肤外血管球瘤较为罕见,其在支气管中的发生更是罕见。我们报告一例支气管血管球瘤的临床和病理特征。一名67岁男性因咳嗽症状入院,胸部CT扫描和纤维支气管镜检查显示右上支气管主干有一个局限性息肉样肿瘤。支气管镜活检标本的组织学表现为典型的类癌肿瘤。通过标准的右侧开胸手术方法,对右上支气管主干进行节段性切除并进行端端吻合,以重建气道,从而手术切除肿瘤。病理和免疫组化结果诊断该肿瘤为支气管血管球瘤。