Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Glomus Tumor of the Trachea

상부 기관에 발생한 사구 종양 1예

  • Lee, Seung Min (Department of Internal Medicine, College of Medicine, Konkuk University) ;
  • Lee, Jung Hyun (Department of Internal Medicine, College of Medicine, Konkuk University) ;
  • Hwang, Jae Jun (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Konkuk University) ;
  • Lee, Song Am (Department of Thoracic & Cardiovascular Surgery, College of Medicine, Konkuk University) ;
  • Lee, Jeong Geun (Department of Radiology, College of Medicine, Konkuk University) ;
  • Kim, Wan Seop (Department of Pathology, College of Medicine, Konkuk University) ;
  • Han, Hye Seung (Department of Pathology, College of Medicine, Konkuk University) ;
  • Lee, Tae Hoon (Department of Internal Medicine, College of Medicine, Konkuk University) ;
  • Yoo, Gwang Ha (Department of Internal Medicine, College of Medicine, Konkuk University) ;
  • Lee, Kye Young (Department of Internal Medicine, College of Medicine, Konkuk University)
  • 이승민 (건국대학교 의과대학 내과학교실) ;
  • 이정현 (건국대학교 의과대학 내과학교실) ;
  • 황재준 (건국대학교 의과대학 흉부외과학교실) ;
  • 이송암 (건국대학교 의과대학 흉부외과학교실) ;
  • 이정근 (건국대학교 의과대학 진단영상의학교실) ;
  • 김완섭 (건국대학교 의과대학 병리학교실) ;
  • 한혜승 (건국대학교 의과대학 병리학교실) ;
  • 이태훈 (건국대학교 의과대학 내과학교실) ;
  • 유광하 (건국대학교 의과대학 내과학교실) ;
  • 이계영 (건국대학교 의과대학 내과학교실)
  • Received : 2007.05.30
  • Accepted : 2007.06.28
  • Published : 2007.08.30
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Abstract

A glomus tumor is composed of modified smooth muscle cells that are similar to those of the glomus body. Its occurrence in the trachea is quite rare. To our knowledge, only 20 cases of glomus tumor of the trachea have been reported worldwide and there has been only 1 case in Korea. We report one case of a 58-year-old man with dyspnea who had a glomus tumor in the upper trachea with a review of literatures. The chest CT scan and bronchoscopy demonstrated a 2.5 cm sized lobulated tumor at the posterior wall of the upper trachea. It had an elongated shape with a broad base and with a highly vascularity. A simple resection of 3 levels of the trachearing was with a tumor and end-to-end anastomosis performed. Microscopic and immunohistochemical staining of the tumor revealed the characteristics of a glomus tumor.

기관 내 사구 종양은 매우 드문 종양이며 일반적인 사구 종양의 증상을 보이지 않다가 크기가 커진 이후에 호흡 곤란이나 객혈, 기침 등의 비특이적인 증상을 보이기 때문에 진단 및 치료가 지연될 수 있다. 따라서 비특이적인 호흡기 증상을 지속적으로 호소하는 환자의 경우 흉부 전산화단층촬영 및 기관지 내시경 등의 적극적인 검사가 필요할 것으로 사료된다. 본 저자들은 호흡 곤란을 주소로 내원한 58세 남자 환자에서 상부 기관 후벽에 발생한 사구 종양 1예를 경험하였기에 이에 대한 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

  1. Shugart RR, Soule EH, Johnson EW. Glomus tumor. Surg Gynecol Obstet 1963;117:334-40
  2. Enzinger FM, Weiss SW. Perivascular tumors. In: Enzinger FM, Weiss SW, editors. Soft tissue tumors. 3rd ed. St. Louis: Mosby; 1995. p.701-33
  3. Kim YI, Kim JH, Suh JS, Ham EK, Suh KP. Glomus tumor of the trachea: report of a case with ultrastructural observation. Cancer 1989;64:881-6 https://doi.org/10.1002/1097-0142(19890815)64:4<881::AID-CNCR2820640420>3.0.CO;2-M
  4. Lee EW, Kim SO, Oh IJ, Ju JY, Cho GJ, Kim KS, et al. A case of bronchial glomus tumor. Tuberc Respir Dis 2002;53:445-8 https://doi.org/10.4046/trd.2002.53.4.445
  5. Venkatachalam MA, Greally JG. Fine structure of glomus tumor: similarity of glomus cells to smooth muscle. Cancer 1969;23:1176-84 https://doi.org/10.1002/1097-0142(196905)23:5<1176::AID-CNCR2820230525>3.0.CO;2-O
  6. Schiefer TK, Parker WL, Anakwenze OA, Amadio PC, Inwards CY, Spinner RJ. Extradigital glomus tumors: a 20-year experience. Mayo Clin Proc 2006;81: 1337-44 https://doi.org/10.4065/81.10.1337
  7. Masson P. Le glomus neuromyoarterial des regions taetiles et sestumeurs. Lyon Chir 1924;21:257-80
  8. Soule EH, Ghormley RK, Bulbulian AH. Primary tumors of the soft tissues of the extremities exclusive of epithelial tumors: an analysis of five hundred consecutive cases. AMA Arch Surg 1955:70:462-74 https://doi.org/10.1001/archsurg.1955.01270090140031
  9. Choi JS, Baek CH, Jung YS, Jung YS, Ko YH Glomus tumor of the trachea. Korean J Otolaryngol 2000;43: 1368-71
  10. Haraguchi S, Yamamoto M, Nishimura H. A glomus tumor of the trachea: a case report. Nippon Kyobu Geka Gakkai Zasshi 1991;39:214-8
  11. Koskinen SK, Niemi PT, Ekfors TO, Sipila J, Valavaara R, Dean PB. Glomus tumor of the trachea. Eur Radiol 1998;8:364-6 https://doi.org/10.1007/s003300050395
  12. Kohout E, Stout AP. The glomus tumor in children. Cancer 1961;14:555-6 https://doi.org/10.1002/1097-0142(199005/06)14:3<555::AID-CNCR2820140316>3.0.CO;2-T
  13. Menaissy YM, Gal AA, Mansour KA. Glomus tumor of the trachea. Ann Thorac Surg 2000;70:295-7 https://doi.org/10.1016/S0003-4975(00)01285-6
  14. Garcia-Prats MD, Sotelo-Rodriguez MT, Ballestin C, Martinez-Gonzalez MA, Roca R, Alfaro J, et al. Glomus tumour of the trachea: report of a case with microscopic, ultrastructural and immunohistochemical examination and review of the literature. Histopathology 1991;19:459-64 https://doi.org/10.1111/j.1365-2559.1991.tb00237.x