Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T23:42:12.124Z Has data issue: false hasContentIssue false

Malignant glomus tumour of larynx: first case report and literature review

Published online by Cambridge University Press:  14 May 2012

N Aslam
Affiliation:
Department of ENT, Head and Neck Surgery, Federal Post Graduate Medical Institute, Shaikh Zayed Hospital, Lahore, Pakistan
Z-U-S Qazi*
Affiliation:
Department of ENT, Head and Neck Surgery, Federal Post Graduate Medical Institute, Shaikh Zayed Hospital, Lahore, Pakistan
A H Ahmad
Affiliation:
Department of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan
R U Khan
Affiliation:
Department of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan
*
Address for correspondence: Dr Zia-us-Salam Qazi, 750-B, Street no 4, PCSIR-Phase II, Opposite Shokat Khanum Cancer Hospital and Research Centre, Lahore, Pakistan E-mail: [email protected]

Abstract

Objective:

We describe the first reported case of a malignant glomus tumour of the larynx.

Method:

Case report and review of the world literature concerning malignant glomus tumours.

Results:

A 37-year-old man presented with progressive hoarseness and dyspnoea. A smooth, right-sided laryngeal mass was found on flexible nasolaryngoscopy. Initial biopsy of this lesion was reported as a true ‘glomus tumour’, which is a benign lesion. Wide local excision was performed. The final histology of this specimen showed it to be a ‘malignant glomus tumour’. Immunohistochemistry was positive for smooth muscle actin, collagen type IV, vimentin and cluster of differentiation 34 glycoprotein. Total laryngectomy was then performed as a definitive curative procedure.

Conclusion:

Glomus tumour is rarely found in visceral locations. This tumour and its malignant counterpart are rare differential diagnoses of laryngeal masses.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Takahashi, N, Oizumi, H, Yanagawa, N, Sadahiro, M. A bronchial glomus tumor surgically treated with segmental resection. Interact Cardiovasc Thorac Surg 2006;5:258–60CrossRefGoogle ScholarPubMed
2Kayal, JD, Hampton, RW, Sheehan, DJ, Washington, CV. Malignant glomus tumor: a case report and review of the literature. Dermatol Surg 2001;27:837–40Google ScholarPubMed
3Folpe, AL, Fanburg-Smith, JC, Miettinen, M, Weiss, SW. Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol 2001;25:112CrossRefGoogle ScholarPubMed
4Folpe, AL. Glomus tumors. In: Fletcher, CDM, Unni, KK, Mertens, F, eds. World Health Organization Classification of Tumors: Pathology and Genetics of Tumors of Soft Tissue and Bone. Lyon: IARC Press, 2002;136–7Google Scholar
5Cocker, JD, Messaoudi, N, Waelput, W, Van Schil, PEY. Intrapulmonary glomus tumor in a young woman. Interact Cardiovasc Thorac Surg 2008;7:1191–3CrossRefGoogle ScholarPubMed
6Cullen, RD, Hanna, EY. Intranasal glomangioma. Am J Otolaryngol 2000;21:402–4CrossRefGoogle ScholarPubMed
7Lee, WT, Murthy, SC, Gildea, TR, Lorenz, RR. First case of laryngeal glomangiomyoma. Laryngoscope 2005;115:2038–40CrossRefGoogle ScholarPubMed
8Miliauskas, JR, Worthley, C, Allen, PW. Glomangiomyoma (glomus tumour) of pancreas: a case report. Pathology 2002;34:193–5CrossRefGoogle ScholarPubMed
9Papla, B, Zieliński, M. Glomus tumour of the oesophagus. Pol J Pathol 2001;52:133–5Google ScholarPubMed
10Altinok, T, Cakir, E, Gulhan, E, Tastepe, I. Tracheal glomus tumor. J Thorac Cardiovasc Surg 2006;132:201–2CrossRefGoogle ScholarPubMed
11Keelawat, S, Hirunwiwatkul, P, Thanakit, V. Recurrent epistaxis from an intranasal glomus tumor: the 22nd case report. J Med Assoc Thai 2004;87:442–5Google ScholarPubMed
12Katabami, M, Okamoto, K, Ito, K, Kimura, K, Kaji, H. Bronchogenic glomangiomyoma with local intravenous infiltration. Eur Respir J 2006;28:1060–4CrossRefGoogle ScholarPubMed
13Miettinen, M, Paal, E, Lasota, J, Sobin, LH. Gastrointestinal glomus tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 32 cases. Am J Surg Pathol 2002;26:301–11CrossRefGoogle ScholarPubMed
14Lange, TH, Magee, MJ, Boley, TM, Bell, SW, Hazelrigg, SR. Tracheobronchial glomus tumor. Ann Thorac Surg 2000;70:292–5CrossRefGoogle ScholarPubMed
15Shim, HS, Choi, YD, Cho, NH. Malignant glomus tumor of the urinary bladder. Arch Pathol Lab Med 2005;129:940–2CrossRefGoogle ScholarPubMed
16Gould, EW, Manivel, JC, Albores-Saavedra, J, Monforte, H. Locally infiltrative glomus tumors and glomangiosarcomas. Cancer 1990;65:310–183.0.CO;2-Q>CrossRefGoogle ScholarPubMed
17De Chiara, A, Apice, G, Mori, S, Silvestro, G, Losito, SN, Botti, G et al. Malignant glomus tumour: a case report and review of the literature. Sarcoma 2003;7:8791CrossRefGoogle ScholarPubMed
18Matsumoto, K, Kakizaki, H, Yagihashi, N, Yagihashi, S. Malignant glomus tumor in branchial muscle of a 16-year old girl. Pathol Int 2001;51:729–34CrossRefGoogle Scholar
19Terada, T, Fujimoto, J, Shirakashi, Y, Kamo, M, Sugiura, M. Malignant glomus tumor of the palm: a case report. J Cutan Pathol 2011;38:381–4Google ScholarPubMed
20Oh, SD, Stephenson, D, Schnall, S, Fassola, I, Dinh, P. Malignant glomus tumor of the hand. Appl Immunohistochem Mol Morphol 2009;17:264–9CrossRefGoogle ScholarPubMed
21Choi, YJ, Yang, KH, Gang, SJ, Kim, BK, Kim, SM. Malignant glomus tumor originating in the superior mediastinum – an immunohistochemical and ultrastructural study. J Korean Med Sci 1991;6:157–63CrossRefGoogle ScholarPubMed
22Hiruta, N, Kameda, N, Tokudome, T, Tsuchiya, K, Nonaka, H, Hatori, T et al. Malignant glomus tumor: a case report and review of literature. Am J Surg Pathol 1997;21:1096–103CrossRefGoogle Scholar
23Calduch, L, Monteagudo, C, Martỉnez-Ruiz, E, Ramón, D, Pinazo, I, Cardá, C et al. Familial generalized multiple glomangiomyoma: report of a new family, with immunohistochemical and ultrastructural studies and review of the literature. Pediatr Dermatol 2002;19:402–8CrossRefGoogle ScholarPubMed
24Mentzel, T, Hügel, H, Kutzner, H. CD-34-positive glomus tumor: clinicopathological and immunohistochemical analysis of six cases with myxoid stromal changes. J Cutan Pathol 2002;29:421–5CrossRefGoogle Scholar
25Park, JH, Oh, SH, Yang, MH, Kim, NI. Glomangiosarcoma of the hand: a case report and review of the literature. J Dermatol 2003;30:827–33CrossRefGoogle ScholarPubMed