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Bronchogenic glomangiomyoma with local intravenous infiltration

Depts of ¹ Internal Medicine, ² Pathology, and ³ Surgery, Iwamizawa Rosai Hospital, Iwamizawa, Japan. ⁴ Authors contributed equally to the study.

CORRESPONDENCE: M. Katabami, Dept of Internal Medicine, Iwamizawa Rosai Hospital, 4-Jo Higashi 16-Chome, Iwamizawa 068-0004, Japan. Fax: 81 126221304. E-mail: katabamm{at}sea.plala.or.jp

Keywords: Bronchogenic glomangiomyoma, glomus tumour, intravenous infiltration, low-grade malignancy

Received: January 6, 2006
Accepted May 18, 2006

Most glomus tumours occur in the dermis and subcutaneous tissues. Lung glomus tumours are quite rare.

The current authors present the first reported case of a lung-derived glomangiomyoma, the rarest variant of glomus tumour.

A 56-yr-old female was admitted with haemoptysis. Chest computed tomography showed an 5-cm-diameter mass in the right lower lobe with mucoid impaction. After a right lower lobectomy, a diagnosis of glomangiomyoma was made.

The tumour had grown endobronchially and its maximal diameter was 5.5 cm. Although cytologically benign, glomus tumour cells had visibly infiltrated neighbouring vessels. These results suggest that a bronchogenic glomangiomyoma has a low-grade malignancy potential and warrants close follow-up.

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