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Cui Z, Wang J, Wang H, Li L, Si X, Zhang Y, Zou H. Case report: Bronchoscopic intervention for rare benign airway tumors: a report of 4 cases and literature review. Front Oncol 2024; 14:1357982. [PMID: 38532934 PMCID: PMC10963520 DOI: 10.3389/fonc.2024.1357982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 02/23/2024] [Indexed: 03/28/2024] Open
Abstract
Due to their unique location, airway tumors have a significant impact on patient quality of life and survival. Current research has focused extensively on malignant airway tumors; however, benign airway tumors, especially rare ones, are less understood due to their low incidence. These tumors are often misdiagnosed and mistreated due to diagnostic challenges. Therefore, there is still a lack of consensus on the treatment of some rare benign airway tumors. Our center summarizes the diagnosis and treatment of four rare cases of benign airway stenosis in recent years, highlighting the bronchoscopic manifestations and therapeutic approaches to improve the understanding of these diseases.
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Affiliation(s)
- Zhifang Cui
- Department of Respiratory Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Jinhong Wang
- Department of Pulmonary and Critical Care Medicine, Sinopharm Tongmei General Hospital, Shanxi, China
| | - Hongwu Wang
- Department of Respiratory Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Lei Li
- Department of Respiratory Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Xiaohui Si
- Department of Pathology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Yanbin Zhang
- Department of Respiratory Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Heng Zou
- Department of Respiratory Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
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Liu Z, Li Z. Case Report: Defect repair post-resection of cervical tracheal granular cell tumor by cervical anterior banded myofascial flap: A case study and literature review. Front Oncol 2023; 13:1016232. [PMID: 36816943 PMCID: PMC9936615 DOI: 10.3389/fonc.2023.1016232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 01/13/2023] [Indexed: 02/05/2023] Open
Abstract
Objective A case of cervical tracheal granular cell tumor (CTGCT) is reported together with a discussion on the clinical manifestation, diagnosis, and treatment of CTGCT. Additional cases of tumors in the tracheal membrane are also discussed. A simple and viable tracheal reconstruction method was proposed. The research design involves a case report and literature review. Methods Twenty-four case reports on cervical GCT with complete clinical data were identified, with a specific focus on cases involving surgical treatment of tumors in the cervical tracheal membrane. Results Twenty-eight reports of GCT in the cervical trachea and six reports on cervical tracheal membrane tumors were identified. The clinical data of a middle-aged Asian woman with a cervical GCT was also discussed. Conclusion Cervical GCT is a rare disease, and tracheal resection is a reasonable treatment for cervical tracheal GCT. The proposed procedure is a simple and feasible method for reconstruction of the cervical tracheal membrane defect using a double-pedicled banded myofascial flap.
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Diaz A, Yan K, Cipriani NA, Blair EA. Large tracheoesophageal granular cell tumor: An atypical case presentation, location, and management. Int J Surg Case Rep 2022; 92:106844. [PMID: 35193010 PMCID: PMC8866684 DOI: 10.1016/j.ijscr.2022.106844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 01/28/2022] [Accepted: 02/15/2022] [Indexed: 11/19/2022] Open
Abstract
Introduction Presentation of case Conclusion Granular cell tumors (GCT) are rare tumors of the head and neck. A 42-year-old man presented to the Emergency Department after a motor vehicle accident with a 3.2 × 5.5 cm mass anterior to the esophagus and posterior to the tachea. The patient underwent a transcervical excision of the retrotracheal tumor, which was positive for CD68, CD163, S100, and SOX10, confirming a GCT. This is a distinctive presentation of a large (5.5cm) GCT in the plane between the trachea and esophagus that hasn't been shown in the literature
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Affiliation(s)
- Ashley Diaz
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | - Kenneth Yan
- Department of Head and Neck Surgery, University of California - Los Angeles, Los Angeles, CA, USA
| | - Nicole A Cipriani
- Department of Pathology, University of Chicago Medicine, Chicago, IL, USA
| | - Elizabeth A Blair
- Department of Surgery, Section of Otolaryngology, University of Chicago Medicine, Chicago, IL, USA.
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Ma J, Cheng Y, Li X, Liu W, Liu R, Liu C. Rare case of granular cell tumor of perianal region: a case report and literature review. J Int Med Res 2021; 49:300060520982689. [PMID: 33459105 PMCID: PMC7816531 DOI: 10.1177/0300060520982689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 11/30/2020] [Indexed: 11/15/2022] Open
Abstract
Granular cell tumors (GCTs) are rare submucosal neoplasms, with tumors in the oral mucosa accounting for about a third of all cases. In contrast, GCT is a rare anal neoplasm, with fewer than 30 cases of perianal GCT reported in the literature. We report the case of a 36-year-old woman with a perianal lump with no obvious local lesion as the main clinical complaint. The tumor was completely resected and histologically confirmed as a GCT. The patient remained under continuous follow-up. GCT is difficult for surgeons and pathologists to diagnose, and biopsy and immunohistochemical analysis are prerequisites for an accurate diagnosis. An integrated understanding of GCT in terms of its differential diagnosis will contribute to better identification and more appropriate treatment of this disease.
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Affiliation(s)
- Jianhua Ma
- Department of Anorectal Surgery, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Yicheng Cheng
- Department of Anorectal Surgery, China-Japan Friendship Hospital, Beijing, China
| | - Xue Li
- Beijing University of Chinese Medicine, Beijing, China
| | - Wei Liu
- Department of Anorectal Surgery, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Renghai Liu
- Department of Anorectal Surgery, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Chuanbo Liu
- Department of Oncology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China
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Rizzo A, Serban ED, Ricci AD, Nannini M, Saponara M, Cancellieri A, Paioli D, Trisolini R, Pantaleo MA. Granular cell tumor of the trachea as a rare cause of dyspnea in a young woman. Respir Med Case Rep 2019; 28:100961. [PMID: 31720208 PMCID: PMC6838894 DOI: 10.1016/j.rmcr.2019.100961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 10/24/2019] [Accepted: 10/24/2019] [Indexed: 11/23/2022] Open
Abstract
Tracheal granular cell tumors are rare neurogenic neoplasms characterized by an indolent behavior. We report the case of a young woman affected by this tumor with non-specific clinical presentation. We performed a literature search in order to identify all the cases of tracheal granular cell tumor and to summarize the current state of knowledge about this rare disease.
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Affiliation(s)
- A Rizzo
- Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy
| | - E D Serban
- Pathology Unit, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy
| | - A D Ricci
- Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy
| | - M Nannini
- Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy
| | - M Saponara
- Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy
| | - A Cancellieri
- Pathology Unit, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy
| | - D Paioli
- Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi and Ospedale Maggiore, Bologna, Italy
| | - R Trisolini
- Interventional Pulmonology Unit, Policlinico Sant'Orsola-Malpighi and Ospedale Maggiore, Bologna, Italy
| | - M A Pantaleo
- Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy
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Marchand Crety C, Garbar C, Madelis G, Guillemin F, Soibinet Oudot P, Eymard JC, Servagi Vernat S. Adjuvant radiation therapy for malignant Abrikossoff's tumor: a case report about a femoral triangle localisation. Radiat Oncol 2018; 13:115. [PMID: 29925410 PMCID: PMC6011335 DOI: 10.1186/s13014-018-1064-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Accepted: 06/14/2018] [Indexed: 12/28/2022] Open
Abstract
Background Granular cell or Abrikossoff’s tumors are usually benign however rare malignant forms concern 1 to 3% of cases reported. Pelvic locations are exceptional. Case presentation We report a case of a 43-years-old patient who had a benign Abrikossoff’s tumor localized in the right femoral triangle diagnosed at the biopsy. The patient underwent a surgical tumorectomy and inguinal lymph nodes resection. Histologically, the tumor showed enough criteria to give diagnosis of malignancy: nuclear pleomorphism, tumor cell spindling, vesicular nuclei with large nucleoli. Moreover, five lymph nodes were metastatic. Immunohistochemistry findings confirmed the diagnosis of granular cell tumor which is positive for S100 protein and CD68 antibodies. The mitotic index was nevertheless low with a Ki67 labeling index of 1–2%. A large surgical revision with an inguinal curage following radiotherapy were decided on oncology committee. Adjuvant radiotherapy on the tumor bed and right inguinal area of 50 Gy in conventional fractionation was delivered with the aim of reducing local recurrence risk. There was no recurrence on longer follow-up (10 months post radiotherapy). Conclusions Adjuvant radiotherapy seems an appropriate therapeutic approach, even if controversial, given that some authors report effectiveness on local disease progression.
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Affiliation(s)
- C Marchand Crety
- Department of Radiation Therapy, Institut de Cancérologie Jean Godinot, Reims, France
| | - C Garbar
- Department of Pathology, Institut de Cancérologie Jean Godinot, Reims, France
| | - G Madelis
- Department of Medical Physic, Institut de Cancérologie Jean Godinot, Reims, France
| | - F Guillemin
- Department of Surgery, Institut de Cancérologie Jean Godinot, Reims, France
| | - P Soibinet Oudot
- Department of Medical Oncology, Institut de Cancérologie Jean Godinot, Reims, France
| | - J C Eymard
- Department of Medical Oncology, Institut de Cancérologie Jean Godinot, Reims, France
| | - S Servagi Vernat
- Department of Radiation Therapy, Institut de Cancérologie Jean Godinot, Reims, France.
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Esterson YB, Edelman MC, Lipskar AM, Glassman LR, Assaad P. A case of bronchial granular cell tumor in a pediatric patient. Clin Imaging 2017; 43:15-18. [DOI: 10.1016/j.clinimag.2017.01.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Revised: 12/22/2016] [Accepted: 01/20/2017] [Indexed: 11/25/2022]
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Saoud M, Patil M, Dhillon SS, Pokharel S, Picone A, Hennon M, Yendamuri S, Harris K. Rare airway tumors: an update on current diagnostic and management strategies. J Thorac Dis 2016; 8:1922-34. [PMID: 27621844 DOI: 10.21037/jtd.2016.07.40] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Marwan Saoud
- Department of Medicine, Critical Care and Sleep Medicine, Department of Medicine, State University of New York, Buffalo, New York, USA
| | - Monali Patil
- Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, State University of New York, Buffalo, New York, USA
| | - Samjot Singh Dhillon
- Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, State University of New York, Buffalo, New York, USA;; Department of Medicine, Interventional Pulmonary Section, Roswell Park Cancer Institute, Buffalo, New York, USA
| | - Saraswati Pokharel
- Department of Pathology, Roswell Park Cancer Institute, Buffalo, New York, USA
| | - Anthony Picone
- Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York, USA
| | - Mark Hennon
- Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York, USA;; Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
| | - Sai Yendamuri
- Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York, USA;; Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
| | - Kassem Harris
- Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, State University of New York, Buffalo, New York, USA;; Department of Medicine, Interventional Pulmonary Section, Roswell Park Cancer Institute, Buffalo, New York, USA
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Lee DH, Yoon TM, Lee JK, Lim SC. Unusual Granular Cell Tumor of the Trachea Coexisting With Papillary Thyroid Carcinoma and Masquerading as Tracheal Invasion of Recurred Thyroid Carcinoma: A Case Report. Medicine (Baltimore) 2016; 95:e3547. [PMID: 27149467 PMCID: PMC4863784 DOI: 10.1097/md.0000000000003547] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
This was an extremely rare case of unusual granular cell tumor of the trachea coexisting with recurrent papillary thyroid carcinoma. We initially misdiagnosed this patient as having tracheal invasion from recurrent thyroid carcinoma even after a computed tomography scan and fine-needle aspiration cytology.Clinicians should be aware of the possibility of granular cell tumor of the trachea occurring simultaneously with papillary thyroid carcinoma.
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Affiliation(s)
- Dong Hoon Lee
- From the Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Hwasun, Korea
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Machado I, Cruz J, Lavernia J, Llombart-Bosch A. Solitary, multiple, benign, atypical, or malignant: the “Granular Cell Tumor” puzzle. Virchows Arch 2015; 468:527-38. [DOI: 10.1007/s00428-015-1877-6] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 10/13/2015] [Accepted: 10/22/2015] [Indexed: 12/23/2022]
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Multiphasic multidetector computed tomography study of a rare tracheal tumor: granular cell tumor. Case Rep Pulmonol 2014; 2014:807430. [PMID: 25548708 PMCID: PMC4274649 DOI: 10.1155/2014/807430] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 11/18/2014] [Indexed: 11/17/2022] Open
Abstract
Our aim is to present the case report of a woman affected by tracheal granular cell tumor analysed by multiphasic contrast-enhanced multidetector CT.
The tumor presents as polypoid lesion (diameter 13 mm), with smooth and well-defined margins, elevated contrast enhancement in arterial phase, and a modest release of contrast in venous phase. This pattern is quite different from the other tracheal tumours.
We have performed a comprehensive review of literature to assess all cases of granular cell tumors of the trachea; only 40 cases are reported. Of these, no one focused on the contrast enhancement aspect, so our work is the first showing a specific pattern in multidetector computed tomography (MDCT) of the tracheal granular cell tumour and may help in differential diagnosis.
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Chaouch N, Mjid M, Brahem E, Zarrouk M, Racil H, Cheikh Rouhou S, Boudaya S, Hantous S, Zakhama B, Chabbou A. [Granulosa cell tracheal tumour: bronchoscopic treatment]. Rev Mal Respir 2012. [PMID: 23200596 DOI: 10.1016/j.rmr.2012.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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13
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Finck C, Moront M, Newton C, Timmapuri S, Lyons J, Rozans M, de Chadarevian JP, Halligan G. Pediatric granular cell tumor of the tracheobronchial tree. J Pediatr Surg 2008; 43:568-70. [PMID: 18358305 DOI: 10.1016/j.jpedsurg.2007.11.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2007] [Revised: 11/05/2007] [Accepted: 11/08/2007] [Indexed: 11/25/2022]
Affiliation(s)
- Christine Finck
- Connecticut Children's Medical Center, Hartford, CT 06106, USA
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