Mir Haanieh Nasiraei, Mazraehei Farahani Maryam, Kiani Arda, Ghadimi Somayyeh
School of medicine Tehran University of Medical Sciences Tehran Iran.
Farhikhtegan Medical Convergence Sciences Research Center, Farhikhtegan Hospital Tehran Medical Sciences, Islamic Azad University Tehran Islamic Republic of Iran.
Respirol Case Rep. 2025 Jun 19;13(6):e70236. doi: 10.1002/rcr2.70236. eCollection 2025 Jun.
Glomus tumours are a group of benign neoplasms originating from the modified smooth muscle cells at the arteriovenous anastomosis that can impact body temperature and blood flow. They are most commonly seen in the subungual region of the subcutaneous tissue, and less frequently seen in organs including the lung and trachea. Tracheal Glomus Tumours (TGTs) are extremely rare subtypes of primary tracheal tumours affecting patients with a mean age of 45, most commonly seen in males and presenting symptoms including cough, dyspnoea, or haemoptysis. Although surgery is considered the primary approach for the treatment of TGT, alternative approaches such as rigid fiberoptic bronchoscopy are considered especially due to the rarity of this disease. In the present case, we report a 38-year-old male patient with a TGT near the carina with symptoms including dyspnoea, cough, and mild haemoptysis. Although the diagnostic approaches revealed a polyploid mass, surgery was related to a higher risk of complications and thus, we used rigid fiberoptic bronchoscopy for the resection of the tumour and considered a 12-month follow-up for monitoring of the patient to assess the need for potential surgical treatment.
血管球瘤是一组起源于动静脉吻合处的改良平滑肌细胞的良性肿瘤，可影响体温和血流。它们最常见于皮下组织的甲下区域，较少见于包括肺和气管在内的器官。气管血管球瘤（TGT）是原发性气管肿瘤中极为罕见的亚型，患者平均年龄为45岁，最常见于男性，症状包括咳嗽、呼吸困难或咯血。尽管手术被认为是治疗TGT的主要方法，但由于这种疾病罕见，特别是考虑采用诸如硬质纤维支气管镜检查等替代方法。在本病例中，我们报告了一名38岁男性患者，其隆突附近患有TGT，症状包括呼吸困难、咳嗽和轻度咯血。尽管诊断方法显示为多倍体肿块，但手术相关并发症风险较高，因此，我们使用硬质纤维支气管镜切除肿瘤，并考虑对患者进行12个月的随访以监测病情，评估是否需要潜在的手术治疗。
