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Glomus tumor of the trachea.
J Bronchology Interv Pulmonol. 2012 Jul; 19(3):220-3.JB

Abstract

Glomus tumors are uncommon soft tissue tumors that usually occur in the hands or feet but rarely have been described to appear in the tracheobronchial tree. Tracheal glomus tumors present with symptoms including cough, dyspnea, and wheezing that may be mistaken for other pulmonary disorders. Imaging and pulmonary function testing can detect tracheal obstruction, but pathology is necessary to differentiate glomus tumors from other airway tumors. On pathology, glomus tumors are made up of glomus cells, blood vessels, and smooth muscle and are classified based on the predominant cell type. The differential for this tumor includes carcinoid tumors, paragangliomas, and hemangiomas, and immunohistochemical stains can be used to obtain the correct diagnosis. The most common modality for treatment of these tracheal tumors has been surgical resection. However, there have been reported cases of successful removal with rigid or flexible bronchoscopy. We present a case of a tracheal glomus tumor that was successfully resected using electrocautery snare during flexible bronchoscopy. Our case adds to the evidence that flexible bronchoscopy is a safe, less invasive approach to management of tracheal glomus tumors in select patients.

Authors+Show Affiliations

Division of Allergy, Pulmonary, Critical Care and Sleep Medicine, The Ohio State University, Columbus, OH 43210, USA. emily.norder@osumc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23207466

Citation

Norder, Emily, et al. "Glomus Tumor of the Trachea." Journal of Bronchology & Interventional Pulmonology, vol. 19, no. 3, 2012, pp. 220-3.
Norder E, Kynyk J, Schmitt AC, et al. Glomus tumor of the trachea. J Bronchology Interv Pulmonol. 2012;19(3):220-3.
Norder, E., Kynyk, J., Schmitt, A. C., Gauhar, U., & Islam, S. (2012). Glomus tumor of the trachea. Journal of Bronchology & Interventional Pulmonology, 19(3), 220-3. https://doi.org/10.1097/LBR.0b013e31825ceef8
Norder E, et al. Glomus Tumor of the Trachea. J Bronchology Interv Pulmonol. 2012;19(3):220-3. PubMed PMID: 23207466.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Glomus tumor of the trachea. AU - Norder,Emily, AU - Kynyk,Jessica, AU - Schmitt,Alessandra C, AU - Gauhar,Umair, AU - Islam,Shaheen, PY - 2012/12/5/entrez PY - 2012/12/5/pubmed PY - 2013/6/12/medline SP - 220 EP - 3 JF - Journal of bronchology & interventional pulmonology JO - J Bronchology Interv Pulmonol VL - 19 IS - 3 N2 - Glomus tumors are uncommon soft tissue tumors that usually occur in the hands or feet but rarely have been described to appear in the tracheobronchial tree. Tracheal glomus tumors present with symptoms including cough, dyspnea, and wheezing that may be mistaken for other pulmonary disorders. Imaging and pulmonary function testing can detect tracheal obstruction, but pathology is necessary to differentiate glomus tumors from other airway tumors. On pathology, glomus tumors are made up of glomus cells, blood vessels, and smooth muscle and are classified based on the predominant cell type. The differential for this tumor includes carcinoid tumors, paragangliomas, and hemangiomas, and immunohistochemical stains can be used to obtain the correct diagnosis. The most common modality for treatment of these tracheal tumors has been surgical resection. However, there have been reported cases of successful removal with rigid or flexible bronchoscopy. We present a case of a tracheal glomus tumor that was successfully resected using electrocautery snare during flexible bronchoscopy. Our case adds to the evidence that flexible bronchoscopy is a safe, less invasive approach to management of tracheal glomus tumors in select patients. SN - 1948-8270 UR - https://www.unboundmedicine.com/medline/citation/23207466/Glomus_tumor_of_the_trachea_ L2 - http://dx.doi.org/10.1097/LBR.0b013e31825ceef8 DB - PRIME DP - Unbound Medicine ER -