A 66-year-old man presented with acute respiratory distress due to a tracheal tumor involving the posterior wall of the upper trachea, with nearly complete airway obstruction. Partial debulking of the tumor's endoluminal component, via rigid bronchoscopy and yttrium-aluminum-perovskite laser, allowed timely and effective airway restoration. The diagnosis was benign tracheal glomus tumor. Two weeks later, elective tracheal sleeve resection with end-to-end anastomosis allowed complete resection of the lesion. No tumor recurrence was found at 21-month follow-up. We describe the multidisciplinary management of this extremely rare tracheal tumor, and review its features.
GaertnerEM, SteinbergDM, HuberM, HayashiT, TsudaN, AskinFB, et al. Pulmonary and mediastinal glomus tumors — report of five cases including a pulmonary glomangiosarcoma: a clinicopathologic study with literature review. Am J Surg Pathol, 2000; 24(8):1105–1114.
2.
MuradT, Von HammE, MurthyMS. Ultrastructure of a hemangiopericytoma and a glomus tumor. Cancer, 1968; 22(6):1234–1249.
3.
EnzingerFM, WeissSW. Soft tissue tumors. St Louis: Mosby; 1995; 701–733.
4.
MassonP. Le glomus neuromyoarterial des regions táctiles et ses tumeurs. Lyon Chir, 1924; 21:257–280. Article in French..
FiliceME, LucchiM, LogginiB, MussiA, FontaniniG. Glomus tumor of the lung: case report and literature review. Pathologica, 2008; 100(1):25–30.
7.
TangCK, TokerC, ForlsNP, TrumpBF. Glomangioma of the lung. Am J Surg Pathol, 1978; 2(1):103–109.
8.
HussarekM, RiederW. Glomustumor der luftrohve. Krebsarzt, 1950; 5:208–212.
9.
FabichDR, HafezGR. Glomangioma of the trachea. Cancer, 1980; 45(9):2337–2341.
10.
HeardBE, DewarA, FirminRK, LennoxSC. One very rare and one new tracheal tumor found by electron microscopy: glomus tumor and acinic cell tumor resembling carcinoid tumors by light microscopy. Thorax, 1982; 37(2):97–103.
11.
ItoH, MotohiroK, NomuraS, TaharaE. Glomus tumor of the trachea: immunohistochemical and electron microscopic studies. Pathol Res Pract, 1988; 183(6):778–784.
12.
KimYJ, KimJH, SuhJS, HamEK, SuhKP. Glomus tumor of the trachea: report of a case with ultrastructural observation. Cancer, 1989; 64(4):881–886.
13.
ShinDH, ParkSS, LeeJH, ParkMH, LeeJD. Oncocytic glomus tumor of the trachea. Chest, 1990; 98(4):1021–1023.
14.
García-PratsMD, Sotelo-RodríguezMT, BallestínC, Martínez-GonzálezMA, RocaR, AlfaroJ, De MiguelE. Glomus tumor of the trachea: report of a case with microscopic, ultrastructural and immunohistochemical examination and review of the literature. Histopathology, 1991; 19(5):459–464.
15.
HaraguchiS, YamamotoM, NishimuraH. A glomus tumor of the trachea: a case report. Nippon Kyobu Geka Gakkai Zasshi, 1991; 39(2):214–218.
KoskinenSK, NiemiPT, EkforsTO, SipiläJ, ValavaaraR, DeanPB. Glomus tumor of the trachea. Eur J Radiol, 1998; 8(3):364–366.
18.
WatanabeM, TakagiK, OnoK, et al. Successful resection of a glomus tumor arising from the lower trachea: report of a case. Surg Today, 1998; 28(3):332–334.
19.
MenaissyYM, GalAA, MansourKA. Glomus tumor of the trachea. Ann Thorac Surg, 2000; 70(1):295–297.
GowanRT, ShanjiFM, PerkinsDG, MaziakDE. Glomus tumor of the trachea. Ann Thorac Surg, 2001; 72(2):598–600.
22.
ChienST, LeeTM, HsuJY, WangJS, TsengHH. Glomus tumor of the trachea. J Chin Med Assoc, 2003; 66(9):551–554.
23.
NadrousHF, AllenMS, BortholmaiBJ, AughenbaughGL, LewisJT, JettJR. Glomus tumor of the trachea: value of multidetector computed tomographic virtual bronchoscopy. Mayo Clin Proc, 2004; 79(2):237–240.
24.
HaverKE, HartnickCJ, RyanDP, ShailamR, MarkEJ. Case 10-2008: a 10-year-old girl with dyspnea on exertion. N Engl J Med, 2008; 358(13):1382–1390.
25.
ColautF, TanioloL, ScapinelloA, PozzobonM. Tracheal glomus tumor successfully resected with rigid bronchoscopy: a case report. J Thorac Oncol, 2008; 3(9):1065–1067.
26.
De CockerJ, MessaoudiN, WaelputW, Van SchilPE. Intrapulmonary glomus tumor in a young woman. Interact Cardiovasc Thorac Surg, 2008; 7(6):1191–1193.
27.
FolpeAL, Fanburg-SmithJC, MiettienenM, WeissSW. Atypical and malignant glomus tumors: Analysis of 52 cases with a proposal for the reclassification of glomus tumors. Am J Surg Pathol, 2001; 25(1):1–12.
28.
FolpeAL. Glomus tumours. In: FletcherCD, UnniKK, MertensF editors. World Health Organization classification of tumors: pathology and genetics of tumors of soft tissue and bone. Lyon, France: IARC Press; 2002:136–137.
29.
AltB, HufferWE, BelchisDA. A Vascular lesion with smooth muscle differentiation presenting as a coin lesion in the lung: glomus tumor versus hemangiopericytoma. Am J Clin Pathol, 1983; 80(5):765–771.
30.
HirutaN, KamedaN, TokudomeT, TsuchiyaK, NonakaH, HatoriT, et al. Malignant glomus tumor: a case report and review of the literature. Am J Surg Pathol, 1997; 21(9):1096–1103.
31.
GrilloHC. Surgery of the trachea and bronchi. Hamilton, ON, Canada: B.C. Decker; 2004.
32.
McMahonCC, RaineyL, FultonB, ConacherID. Central airway compression: anaesthetic and intensive care consequences. Anaesthesia, 1997; 52(2):150–168.
33.
ErnstA, Feller-KopmanD, BeckerHD, MehtaAC. Central airway obstruction. Am J Respir Crit Care Med, 2004; 169(12):1278–1297.
34.
PassotS, ServinF, AllaryR, PascalJ, PradesJM, AuboyerC, MolliexS. Target- controlled versus manually controlled infusion of propofol for direct laryngoscopy and bronchoscopy. Anesth Analg, 2002; 94(5):1212–1216.
