Fernandez-Bussy Sebastian, Labarca Gonzalo, Rodriguez Macarena, Mehta Hiren J, Jantz Michael
Unit of Interventional Pulmonology, Clínica Alemana-Universidad del Desarrollo, Santiago, Chile.
Resident of Internal Medicine Interna, Pontificia Universidad Católica de Chile, Santiago, Chile.
Respir Med Case Rep. 2015 Aug 11;16:81-5. doi: 10.1016/j.rmcr.2015.08.001. eCollection 2015.
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.
血管球瘤是一种罕见的、通常为良性的肿瘤,主要见于甲床下区域。我们描述了一例同时发生的皮下和气管血管球瘤,该病例成功接受了内镜下切除术。一名48岁男性,左前臂有皮下肿块,出现咯血症状。胸部CT扫描显示气管内有一个息肉样病变。他接受了支气管镜切除术。活检显示为血管球瘤,与前臂活检发现的肿瘤类型相同。血管球瘤在呼吸道中很少见。仅有49例病例被报道。大多数血管球瘤起源于气管后壁下部,无腔外扩展。支气管镜切除术已成功应用。血管球瘤应纳入气管支气管病变的鉴别诊断。支气管镜切除术和辅助放疗是有效的治疗选择。这是拉丁美洲首例关于同时发生的皮下和气管血管球瘤以及首例报道的气道血管球瘤的病例。作为本研究的一部分,我们还进行了文献综述。