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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: dr_zia_ent@yahoo.com

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

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