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Pediatric glomus tumors
1Department of Surgery, University of South Florida, Tampa 33612.
Insights
Glomus tumors are rare in children, often hidden by middle ear infections. Complete surgical removal is recommended for childhood glomus tumors, as outcomes can be poor.
Area of Science:
- Otolaryngology
- Pediatric Oncology
- Neurosurgery
Background:
- Glomus tumors, rare in pediatric populations, present unique diagnostic challenges.
- Distinguishing middle ear glomus tumors from common childhood ear infections is critical.
Observation:
- A 10-year-old girl with bilateral chronic otitis media had obscured bilateral glomus tumors.
- Literature review identified seven prior pediatric cases, with two additional cases bringing the total to ten.
Findings:
- Pediatric glomus tumors are frequently endocrine-active and can be masked by otitis media.
- Five of six reported pediatric glomus jugulare tumors were not cured, with three fatalities.
Implications:
- Early and accurate diagnosis of pediatric glomus tumors is essential.
- Complete surgical extirpation is the advocated treatment for childhood glomus tumors to improve outcomes.
Abstract:
Glomus tumors of the middle ear are unusual in adults, but exceedingly rare in children. While a dull, red bulging tympanic membrane in the adult may suggest a glomus tumor, it generally signifies infection in the child. This report details our management of a 10-year-old girl afflicted with bilateral chronic middle ear cleft infection that obscured bilateral glomus tumors. Review of the current English language literature reveals seven additional case reports of otologic glomus tumors in children less than fourteen years of age. Two additional cases are presented that were given to the senior author by personal communication, producing a total of 10 cases for review. Glomus tumors in children may be hidden by otitis media and appear more likely to be endocrine active. Failure to cure the lesion is apparent in five of six case reports of children with glomus jugulare tumors; three of these children are reported to have expired. Complete surgical extirpation is advocated for childhood glomus tumors.
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