Abstract:We report the case of a glomus tumor originating in the left main bronchus diagnosed in a 79 year old Caucasian man. A glomus tumor is an extremely rare neoplasm in the bronchi with nonspecific clinical features. Bronchoscopy allows the diagnosis through biopsy and subsequent histopathological examination of the tissue and in selected cases may represent a valid alternative to surgery permitting a radical tumor excision.
“…Glomus tumor originate from glomus apparatus and is a rare neoplasm that accounts for 1.6% of soft tissue tumors (1). The dermis and subcutaneous tissue are the most common location of glomus tumor, the occurrence in the bronchus is extremely rare (2,3). Sleeve resection with primary reconstruction of bronchus and endoscopic removal are usually used for the treatment of bronchial glomus tumors (4,5).…”
Glomus tumors are benign mesenchymal neoplasm with an estimated incidence of 1.6% in 500 consecutive soft tissue tumors which usually located in the skin or soft tissue, respiratory tract was seldom involved. The majority of bronchial glomus tumor were treated by surgery, however, treated by robotic surgery has rarely been described. A 31-year-old woman was diagnosed to have a nodule located in the right main bronchus during chest CT exam without any symptoms, further bronchoscopy revealed the lesion was located at the root of the right main bronchus. The nodule needs to be removal by surgery, and also the pulmonary function needs to be preserved as much as possible. A robot-assisted surgery was then performed, and the "longitudinal resection with transverse suture" technique was adopted to avoid bronchial stenosis, postoperative pathology confirmed a bronchial glomus tumor. The patient was discharged 15 days after the operation. The anastomose healed well without stenosis when examined by bronchoscopy 30 days after surgery. Bronchial glomus tumor could be safely treated by Robot-assisted lung-reserved surgery could be used safely to treat bronchial glomus tumor under suitable conditions (e.g., location, size of tumor), longitudinal resection with transverse suture could be used as an effective method to prevent bronchial stenosis.
“…Glomus tumor originate from glomus apparatus and is a rare neoplasm that accounts for 1.6% of soft tissue tumors (1). The dermis and subcutaneous tissue are the most common location of glomus tumor, the occurrence in the bronchus is extremely rare (2,3). Sleeve resection with primary reconstruction of bronchus and endoscopic removal are usually used for the treatment of bronchial glomus tumors (4,5).…”
Glomus tumors are benign mesenchymal neoplasm with an estimated incidence of 1.6% in 500 consecutive soft tissue tumors which usually located in the skin or soft tissue, respiratory tract was seldom involved. The majority of bronchial glomus tumor were treated by surgery, however, treated by robotic surgery has rarely been described. A 31-year-old woman was diagnosed to have a nodule located in the right main bronchus during chest CT exam without any symptoms, further bronchoscopy revealed the lesion was located at the root of the right main bronchus. The nodule needs to be removal by surgery, and also the pulmonary function needs to be preserved as much as possible. A robot-assisted surgery was then performed, and the "longitudinal resection with transverse suture" technique was adopted to avoid bronchial stenosis, postoperative pathology confirmed a bronchial glomus tumor. The patient was discharged 15 days after the operation. The anastomose healed well without stenosis when examined by bronchoscopy 30 days after surgery. Bronchial glomus tumor could be safely treated by Robot-assisted lung-reserved surgery could be used safely to treat bronchial glomus tumor under suitable conditions (e.g., location, size of tumor), longitudinal resection with transverse suture could be used as an effective method to prevent bronchial stenosis.
“…Glomus tumors in the trachea, bronchi, and lung overall are sufficiently uncommon that they are not tabulated in the World Health Organization classification of lung tumors [1]. To date, only a few more than 20 cases of tracheobronchial glomus tumors have been reported [2,3] among the total, and most of them are benign. We describe an additional case of this rare entity and this case differs from the published cases in being a glomus tumor of uncertain malignant potential.…”
Glomus tumor is usually a small, benign tumor and typically occurs in the dermis or subcutis or soft tissue of the extremities and rarely in the visceral locations. Its occurrence in the main bronchus is extremely rare. The current case reported a 30-year-old woman with dyspnea on exertion and hemoptysis, she had a glomus tumor which has large size, deep location and exhibits an infiltrative margin as well as increased atypical mitotic figures. These characteristics suggest malignant behavior. However, there is little data regarding glomus tumors arising in the bronchus, the need for caution in diagnosing this case as a malignant glomus tumor must be highlighted. Therefore, the diagnosis of bronchial glomus tumor of uncertain malignant potential was favored. To the best of our knowledge, both the type and the location of this glomus tumor are extremely rare. Accumulation of more cases are needed to clarify their diagnosis and significance since there is little data regarding glomus tumors arising in the bronchus.
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