Malignant glomus tumor : a case report of widespread metastases in a patient with multiple glomus body hamartomas

Glomus tumors are characteristically benign solitary tumors. A few cases of malignant glomus tumors have been reported; however, they are usually only locally invasive, and metastases are exceedingly rare. We report a case of widespread metastases of a malignant glomus tumor involving the skin, lung...

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Veröffentlicht in:The American journal of surgical pathology 1996-02, Vol.20 (2), p.233-238
Hauptverfasser: BRATHWAITE, C. D, POPPITI, R. J
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description Glomus tumors are characteristically benign solitary tumors. A few cases of malignant glomus tumors have been reported; however, they are usually only locally invasive, and metastases are exceedingly rare. We report a case of widespread metastases of a malignant glomus tumor involving the skin, lungs, jejunum, liver, spleen, and lymph nodes in a 63-year-old man with end-stage chronic renal failure. At autopsy, multiple glomus body hamartomas were also noted throughout the dermis proximal to the skin tumors. Histologically, the tumor was composed of monotonous round cells in solid sheets and investing numerous capillary-sized vessels. Approximately four to six mitoses were present per high-power field. The tumor cells were strongly immunoreactive for actin and vimentin, and ultrastructurally there were whorls of microfilaments with focal condensations. This case is exceptional because of its aggressive course.
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subjects Antigens, Neoplasm - analysis
Biological and medical sciences
Cytoskeletal Proteins - analysis
Dermatology
Glomus Tumor - chemistry
Glomus Tumor - pathology
Hamartoma - pathology
Humans
Immunoenzyme Techniques
Kidney Failure, Chronic - complications
Male
Medical sciences
Middle Aged
Mucin-1 - analysis
Neoplasm Metastasis
S100 Proteins - analysis
Skin Neoplasms - chemistry
Skin Neoplasms - pathology
Tumors of the skin and soft tissue. Premalignant lesions
title Malignant glomus tumor : a case report of widespread metastases in a patient with multiple glomus body hamartomas
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