Muhammet Reha ÇELİK, Nurhan ŞAHİN, Ayşe Nur AKATLI, Hakkı ULUTAŞ

Primer pulmoner glomanjioma

Glomanjiomalar, arteriyovenöz anastomozların etrafını saran glomus cisimlerinden kaynaklanan benign yumuşak doku tümörleridir. Bu yazıda, göğüs ağrısı nedeni ile kliniğimize başvuran ve bilgisayarlı göğüs tomografisinde 4 cm çapında soliter kitle saptanan 40 yaşında bir kadın hasta sunuldu. Kitle, video yardımlı torakoskopik kama rezeksiyon ile çıkarıldı. Histopatolojik tanı glomanjioma olarak bildirildi. Glomus cisimleri akciğer parenkiminde neredeyse hiç bulunmamaktadır; bu nedenle, pulmoner glomanjiomalar son derece nadir lezyonlardır. Daha sık görülen primer veya metastatik akciğer lezyonları ile kolaylıkla karıştırılabilir. Bu tümörde nüks riski düşük olup sublobar komplet rezeksiyon kesin tanı ve küratif tedavi için en doğru tercihtir.

Primary pulmonary glomangioma

Glomangiomas are benign soft tissue tumors derived from the glomus bodies surrounding arteriovenous anastomoses. In this article, we report a 40-year-old female patient admitted to our clinic due to chest pain whose computed tomography of the chest revealed a solitary lesion of 4 cm in diameter. The lesion was removed with video-assisted thoracoscopic wedge resection. The histopathological diagnosis was reported as glomangioma. Glomus bodies almost never exist in the lung parenchyma; thus, pulmonary glomangiomas are extremely rare lesions. They can easily be confused with more common primary or metastatic lesions of the lungs. Risk of recurrence is low for this tumor and sublobar complete resection is the treatment of choice for definitive diagnosis and curative treatment.

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10. De Cocker J, Messaoudi N, Waelput W, Van Schil PE. Intrapulmonary glomus tumor in a young woman. Interact Cardiovasc Thorac Surg 2008;7:1191-3.
9. Ueno M, Nakashima O, Mishima M, Yamada M, Kikuno M, Nasu K, et al. Pulmonary glomus tumor: CT and MRI findings. J Thorac Imaging 2004;19:131-4.
8. Dalfior D, Parisi A, Cannizzaro C, Bontempini L, Di Pace C, Menestrina F, et al. Pulmonary glomus tumor. Int J Surg Pathol 2008;16:81-4.
7. Folpe 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;25:1-12.
6. De 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;7:87-91.
5. Kanakis M, Rapti N, Chorti M, Lioulias A. Asymptomatic Glomus Tumor of the Mediastinum. Case Rep Surg 2015;2015:631625.
4. Gebauer F, Quaas A, Izbicki JR, Vashist YK. Glomangioma of the lung: a case report and review of the literature. J Med Case Rep 2014;8:5.
3. Gaertner EM, Steinberg DM, Huber M, Hayashi T, Tsuda N, Askin FB, 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;24:1105-14.
2. Hohenforst-Schmidt W, Woitow M, Zarogoulidis P, Machairiotis N, Gschwendtner A, Huang H, et al. Glomus tumor in the lung parenchyma. J Thorac Dis 2012;4:663-6.
1. Weiss SW, Goldblum JR. Perivascular tumors In: Weiss WS, Goldblum JR, editors. Enzinger and Weiss's Soft Tissue Tumors. 5th ed. St. Louis: Mosby; 2008. p. 751-67.