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A bronchial glomus tumor surgically treated with segmental resection
Nobumasa Takahashi1, Hiroyuki Oizumi, Naoki Yanagawa
1Second Department of Surgery, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan. nobumasat@ybb.ne.jp
Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
Summary
A rare bronchial glomus tumor was diagnosed in a 67-year-old man presenting with cough. Surgical resection and pathological analysis confirmed the unusual diagnosis, highlighting this rare extracutaneous tumor.
Area of Science:
- Pulmonology
- Surgical Pathology
- Oncology
Background:
- Extracutaneous glomus tumors are rare, with bronchial involvement being exceptionally uncommon.
- Glomus tumors typically arise in the skin or subcutaneous tissues.
Purpose of the Study:
- To report a rare case of bronchial glomus tumor.
- To describe the clinical, pathological, and immunohistochemical features of this rare entity.
Main Methods:
- A 67-year-old male patient presented with cough.
- Diagnostic imaging included chest CT scan and fiberoptic bronchoscopy.
- Surgical resection via thoracotomy with segmental bronchial resection and end-to-end anastomosis was performed.
- Histopathological and immunohistochemical analyses were conducted on the resected specimen.
Main Results:
- Chest CT and bronchoscopy revealed a polypoid tumor in the right superior bronchial trunk.
- Initial biopsy suggested a carcinoid tumor.
- Final pathological and immunohistochemical findings confirmed the diagnosis of bronchial glomus tumor.
- The tumor was successfully resected with airway reconstruction.
Conclusions:
- Bronchial glomus tumor is an extremely rare diagnosis.
- Comprehensive pathological and immunohistochemical evaluation is crucial for accurate diagnosis, differentiating it from other bronchial neoplasms like carcinoid tumors.
- Surgical resection is a viable treatment option for bronchial glomus tumors.