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J Thorac Cardiovasc Surg 2006;132:201-202
© 2006 The American Association for Thoracic Surgery
Brief Communication |
a Department of Thoracic Surgery, Atatürk Center For Chest Disease and Thoracic Surgery, Ankara, Turkey
b Department of Pathology, Atatürk Center For Chest Disease and Thoracic Surgery, Ankara, Turkey
Received for publication February 2, 2006; revisions received March 15, 2006; accepted for publication March 21, 2006. * Address for reprints: Tamer Altinok, MD, Sehit Mustafa Bas Cad, 79/4, 06130 Aydinlikevler-Ankara, Turkey. (Email: taltinoks@yahoo.com).
| The first 20% of the full text of this article appears below. |
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The majority of glomus tumors occur in the dermis or subcutis of the extremities. It is extremely rare in the tracheobronchial tree: only 16 cases have been reported in the literature.
1
Although glomus tumors are predominantly benign, they rarely demonstrate an aggressive and malignant clinical course and histologic characteristics. Herein we discuss a patient with a tracheal glomus tumor classified as "uncertain malignant potential" according to the new World Health Organization (WHO) classification.
Clinical Summary
An 83-year-old woman presenting with hemoptysis and dyspnea was admitted to our hospital. She had a 3-month history of cough and progressive dyspnea. The results of chest roentgenography were normal. On physical examination, she had cyanosis and inspiratory-expiratory wheezing. Pulmonary function tests showed a forced vital capacity of 0.4 L (27%) and a forced expiratory volume in 1 second/forced vital capacity ratio of 73%. Arterial blood gas analysis on room air breathing showed a PO
2 of 40.1 mm Hg, a PCO
2 of 42.7 mm Hg,
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