1.Glomuvenous malformation: a clinicopathological analysis of 31 cases.
Q Y LIU ; W J BAO ; C X LI ; S XUE ; Y Z DING ; D K LIU ; B X MA ; F F FU ; L F KONG
Chinese Journal of Pathology 2023;52(10):1001-1005
		                        		
		                        			
		                        			Objective: To investigate the clinicopathological features of glomuvenous malformation (GVM). Methods: Thirty-one cases of GVM diagnosed at the Henan Provincial People's Hospital from January 2011 to December 2021 were collected. Their clinical and pathological features were analyzed. The expression of relevant markers was examined using immunohistochemistry. The patients were also followed up. Results: There were 16 males and 15 females in this study, with an average age of 11 years (range, 1-52 years). The locations of the disease included 13 cases in the limbs (8 cases in the upper limbs, 5 cases in the lower limbs), 9 cases in the trunks, and 9 cases in the foot (toes or subungual area). Twenty-seven of the cases were solitary and 4 were multifocal. The lesions were characterized by blue-purple papules or plaques on the skin surface, which grew slowly. The lumps became larger and appeared to be conspicuous. Microscopically, GVM mainly involved the dermis and subcutaneous tissue, with an overall ill-defined border. There were scattered or clustered irregular dilated vein-like lumens, with thin walls and various sizes. A single or multiple layers of relatively uniform cubic/glomus cells were present at the abnormal wall, with scattered small nests of the glomus cells. The endothelial cells in the wall of abnormal lumen were flat or absent. Immunohistochemistry showed that glomus cells strongly expressed SMA, h-caldesmon, and collagen IV. Malformed vascular endothelial cells expressed CD31, CD34 and ERG. No postoperative recurrence was found in the 12 cases. Conclusions: GVM is an uncommon type of simple venous malformation in the superficial soft tissue and different from the classical glomus tumor. Morphologically, one or more layers of glomus cells grow around the dilated venous malformation-like lumen, which can be combined with common venous malformations.
		                        		
		                        		
		                        		
		                        			Male
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Glomus Tumor/surgery*
		                        			;
		                        		
		                        			Endothelial Cells/pathology*
		                        			;
		                        		
		                        			Paraganglioma, Extra-Adrenal/pathology*
		                        			;
		                        		
		                        			Immunohistochemistry
		                        			
		                        		
		                        	
2.Clinicopathological features and diagnosis of pericytic tumors of the kidney.
Yu Lu HE ; Yu Wei ZOU ; Yan Jiao HU ; Jie WU ; Wei ZHANG ; Wen Juan YU ; Yu Jun LI ; Yan Xia JIANG
Chinese Journal of Pathology 2022;51(10):987-992
		                        		
		                        			
		                        			Objective: To investigate the clinicopathologic features,diagnosis and prognosis of pericytic tumor of the kidney. Methods: Three cases of pericytic tumor of the kidney (two cases were diagnosed as glomangiomyomas and one case as pericytic tumor,unclassified) were collected from the affiliated Hospital of Qingdao University between January 2014 to May 2021; the clinical and morphologic features, immunohistochemical and molecular characteristics were analyzed and the relevant literature was reviewed. Results: The three patients included one male and two females, with ages ranging from 21 to 70 years. In two patients the tumors were detected incidentally at physical examination and one patient presented with low back discomfort. Imaging showed a rounded nodular soft tissue density shadow in renal parenchyma, and enhancement scan showed uneven delayed enhancement. Grossly, two tumors were located in the renal hilum and one in the renal parenchyma; all were nodular. The tumors were measured in size from 1.6 cm to 5.1 cm (mean 4.1 cm) and showed gray or gray-red cut surface. Histologic examination showed the tumor cells were arranged in solid sheets or small nodules, closely related to vascular wall. Tumor cells were mostly epithelial-like with abundant cytoplasm, light eosinophilia, obscure boundary and round nuclei with visible nucleoli. Vague bundles and fascicular arrangements of smooth muscle component were noted in some areas, with transition of both components. There was no necrosis. By immunohistochemistry, the tumor cells strongly and diffusely expressed vimentin, SMA and collagen Ⅳ, two cases expressed CD34, all three cases expressed PDGFRB to varying extent, and the Ki-67 index was 2%-3%. PCR tests showed absent K-RAS, BRAF V600E gene mutation in all three cases. PDGFRB mutations in exons 3 and 18, respectively were found in two of the three cases by high-throughput sequencing, and no NOTCH 1/2/3 gene fusions were found in any of them. Follow-up information (range: 6-92 months) showed no evidence of local recurrence or distant metastasis in all three patients. Conclusions: Pericytic tumor of the kidney is a rare mesenchymal tumor originating in the kidney with differentiation to smooth muscle, most commonly glomus tumor. The mild pleomorphism, close relationship with vascular wall and spindled smooth muscle components suggest the diagnosis of the tumor. Expression of both epithelial and muscle-associated markers aids the diagnosis. PDGFRB gene mutations may have an important role in the development of this tumor. Most patients have a good prognosis, and a few cases have malignant biological behavior.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Biomarkers, Tumor/analysis*
		                        			;
		                        		
		                        			Collagen
		                        			;
		                        		
		                        			Diagnosis, Differential
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Glomus Tumor/pathology*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Ki-67 Antigen
		                        			;
		                        		
		                        			Kidney/pathology*
		                        			;
		                        		
		                        			Kidney Neoplasms/pathology*
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Neoplasms, Connective and Soft Tissue
		                        			;
		                        		
		                        			Proto-Oncogene Proteins B-raf
		                        			;
		                        		
		                        			Receptor, Platelet-Derived Growth Factor beta
		                        			;
		                        		
		                        			Vimentin
		                        			;
		                        		
		                        			Young Adult
		                        			
		                        		
		                        	
3.A Case of En Plaque Meningioma of Jugular Foramen with Image Findings of Differential Diagnosis.
Ye Ri YOON ; Jong Kyu HAN ; Chi Kyou LEE
Soonchunhyang Medical Science 2016;22(2):185-188
		                        		
		                        			
		                        			Primary meningioma of jugular foramen is extremely rare, while paraganglioma or nerve sheath tumor are relatively common in jugular foramen. We reported a case of primary meningioma of jugular foramen. A 79-year-old female who had left tinnitus and hearing loss for three month came to the department of otorhinolaryngology. Temporal bone computed tomography scan showed sclerotic change and slightly irregular margins of left jugular foramen with relatively preservation of bony architecture. Temporal bone magnetic resonance image showed well defined homogeneous enhancing mass in left jugular foramen with extension to carotid space on gadolinium enhanced T1 weighted image. Prominent dural tail was also noted. On T2 weighted image, this mass showed intermediated signal intensity with no vascular signal voids. Meningioma was confirmed by pathology. In this article, we describe a case of primary en plaque meningioma of jugular foramen and review image findings of differential diagnosis.
		                        		
		                        		
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Diagnosis, Differential*
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Gadolinium
		                        			;
		                        		
		                        			Glomus Jugulare Tumor
		                        			;
		                        		
		                        			Hearing Loss
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Meningioma*
		                        			;
		                        		
		                        			Neurilemmoma
		                        			;
		                        		
		                        			Otolaryngology
		                        			;
		                        		
		                        			Paraganglioma
		                        			;
		                        		
		                        			Pathology
		                        			;
		                        		
		                        			Tail
		                        			;
		                        		
		                        			Temporal Bone
		                        			;
		                        		
		                        			Tinnitus
		                        			
		                        		
		                        	
4.Multiple glomangiomatosis: report of a case.
Sisi FAN ; Yong LIU ; Mingzhi LU ; Qihua QI
Chinese Journal of Pathology 2016;45(1):53-54
5.Primary benign glomus tumor of lung: report of a case.
Jianguo WEI ; Xiaolu YUAN ; Jianfeng YANG ; Aijing SUN
Chinese Journal of Pathology 2015;44(9):664-665
		                        		
		                        		
		                        		
		                        			Glomus Tumor
		                        			;
		                        		
		                        			diagnosis
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Lung
		                        			;
		                        		
		                        			pathology
		                        			
		                        		
		                        	
6.Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.
Hyang Jeong JO ; Soo Uk CHAE ; Gang Deuk KIM ; Yeung Jin KIM ; Deok Hwa CHOI ; Jae In PARK
Clinics in Orthopedic Surgery 2015;7(3):418-421
		                        		
		                        			
		                        			Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			*Fibroma
		                        			;
		                        		
		                        			*Glomus Tumor
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			*Osteochondroma
		                        			;
		                        		
		                        			*Toes/pathology/surgery
		                        			
		                        		
		                        	
7.Malignant Glomus Tumor of the Peritoneum: Case Report.
Sandra BALEATO-GONZALEZ ; Roberto GARCIA-FIGUEIRAS ; Maria Virginia TRUJILLO-ARIZA ; Juan Jose CARRERA-ALVAREZ
Korean Journal of Radiology 2014;15(1):61-65
		                        		
		                        			
		                        			Glomus tumors are usually benign tumors that occur in the skin and soft tissues of the extremities. Visceral locations, such as stomach, intestines or lung, are extremely rare because glomus bodies are rare or absent in these organs. This report describes our experience in a 47-year-old woman diagnosed with a peritoneal malignant glomus tumor. This finding has not been previously reported.
		                        		
		                        		
		                        		
		                        			Female
		                        			;
		                        		
		                        			Glomus Tumor/pathology/*radiography
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Peritoneal Neoplasms/pathology/*radiography
		                        			;
		                        		
		                        			Sarcoma
		                        			;
		                        		
		                        			Tomography, X-Ray Computed
		                        			
		                        		
		                        	
8.Glomus Tumor of Hoffa's Fat Pad and Its Management by Arthroscopic Excision.
Sharad PRABHAKAR ; Mandeep Singh DHILLON ; Rakesh Kumar VASISHTHA ; Kamal BALI
Clinics in Orthopedic Surgery 2013;5(4):334-337
		                        		
		                        			
		                        			We present a rare case of glomus tumor of Hoffa's fat pad in a 42-year-old woman. Magnetic resonance imaging findings along with the characteristic clinical picture led us to suspect a glomus tumor as the possible etiology. An ischemia test was found to be positive and this further substantiated our diagnosis. An arthroscopic excision was performed and the histology confirmed the diagnosis of glomus tumor of Hoffa's fat pad. The patient responded well to the excision with immediate complete resolution of pain and she remains asymptomatic at the last follow-up after 15 months. To our knowledge, this is the second reported case of glomus tumor of Hoffa's fat pad and the first ever to be managed by simple arthroscopic excision. The tumor poses a great challenge to an orthopedic surgeon. However, knowledge of its characteristic clinical presentation and the recognition of such a rare entity can help achieve an early diagnosis and timely management.
		                        		
		                        		
		                        		
		                        			Adipose Tissue/pathology/*surgery
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Arthroscopy
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Glomus Tumor/*secondary
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Knee/pathology/*surgery
		                        			;
		                        		
		                        			Magnetic Resonance Imaging
		                        			;
		                        		
		                        			Soft Tissue Neoplasms/*surgery
		                        			
		                        		
		                        	
9.Juxtaglomerular cell tumor:a report of two cases.
Qin SHEN ; Wei LIANG ; Shao-jun JIANG ; Bo YU ; Jie MA ; Qun-li SHI ; Xiao-jun ZHOU
Chinese Journal of Pathology 2013;42(1):46-47
		                        		
		                        		
		                        		
		                        			Actins
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Antigens, CD34
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Carcinoma, Renal Cell
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Diagnosis, Differential
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Glomus Tumor
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Hemangiopericytoma
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypertension
		                        			;
		                        		
		                        			etiology
		                        			;
		                        		
		                        			Juxtaglomerular Apparatus
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			surgery
		                        			;
		                        		
		                        			ultrastructure
		                        			;
		                        		
		                        			Kidney Neoplasms
		                        			;
		                        		
		                        			complications
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			surgery
		                        			;
		                        		
		                        			ultrastructure
		                        			;
		                        		
		                        			Nephrectomy
		                        			;
		                        		
		                        			Wilms Tumor
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			
		                        		
		                        	
            
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