Case Report: Glomus Tumor of the Thigh

2021 ◽  
pp. 154431672199913
Author(s):  
Jessica Kralec

Glomus tumors are small, painful benign tumors that occur primarily in the subungual region of the hand. The presentation of glomus tumors in areas other than the hand is rare, but have been reported. Patients with glomus tumors have a prolonged history of focal pain, tenderness, and cold hypersensitivity. However, as all 3 symptoms may not present simultaneously, it can present a diagnostic challenge to clinicians and imagers, often remaining undiagnosed or misdiagnosed for many years. We report a case of an extradigital glomus tumor of the right thigh that was initially diagnosed as focal superficial thrombophlebitis. The diagnosis of glomus tumor was pathologically proven.

2018 ◽  
Vol 5 (4) ◽  
pp. 1581
Author(s):  
A. P. Roshini ◽  
Vivek Bhat ◽  
Rakesh Ramesh ◽  
Inchara Y. K.

Glomangioma or glomus tumors are rare neoplasms of the glomus body, which are located in the stratum reticularis of the dermis throughout the body. With a female preponderance, 75% of them occur in the subungual region and present with non-specific pain as the main complaint. Extradigital glomus tumours are rare and present a diagnostic challenge, seen most commonly in males. We present a case of a 47-year-old male who presented with a painful swelling in the forearm. MRI showed a hypodense lesion in the subcutaneous plane. After a wide local excision, histopathology revealed sheets of round cells with intervening vascular channels, characteristic of a glomus tumor.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed Abu-Zaid ◽  
Ayman Azzam ◽  
Tarek Amin ◽  
Shamayel Mohammed

Glomus tumors are rare mesenchymal neoplastic lesions arising from glomus bodies that are involved in skin thermoregulation. They are mostly benign tumors, and malignant variants have been rarely reported. The subungual zones of fingers and toes are the most frequent sites of observation. Glomus tumors arising in visceral organs of the gastrointestinal tract are exceedingly rare. Stomach antrum and intestinal duodenum are the most frequent organs involved. No single case of glomus tumor involving intestinal ileum has been previously reported in the English medical literature. To the best of our knowledge, we report the first case of malignant glomus tumor (glomangiosarcoma) of intestinal ileum in a 29-year-old female patient who presented with a 1-month history of a tender pelvi-abdominal mass, constipation, vomiting, and melena. The intestinal ileum glomus tumor was resected, and histopathological diagnosis was consistent with glomangiosarcoma. A postoperative 6-month followup failed to show any evidence of tumor recurrence.


2020 ◽  
Vol 2 (1) ◽  
pp. 01-04
Author(s):  
Rolanda A. Willacy

Glomus bodies are neuromyoarterial apparatuses of the skin, implicated in body temperature control, and may undergo transformation with unregulated hyperplasia of their smooth muscle component. Glomus tumors most commonly occur in the subungual region of the fingers. These benign tumors are rare and constitute 1-5% of soft tissue tumors of the hand and may present as solitary or multiple masses. Solitary glomus tumors present with a classic triad of localized tenderness, severe pain, and cold sensitivity. We report a rare case of glomus tumor in the elbow and a review of the histopathological findings.


2021 ◽  
pp. 6-10
Author(s):  
Dae-Geun Kim ◽  
Seung-Rim Kang

Glomus tumors are neoplasms arising from the glomus body, which regulate skin temperature. They are mostly benign tumors and present in the subungual area of a distal phalanx. However, they can occur in extradigital location, and they may not be typical of intradigital glomus tumors. This makes it difficult to diagnose extradigital glomus tumors. We report a volar extradigital tumor mimicking a painful ganglion with a literature review.


Author(s):  
Chiao Yee Lim ◽  
Sijie Ng ◽  
Suryasmi Duski ◽  
Ping Ching Chye

<p class="abstract">Glomus tumors are rare tumors, and mostly occur in the fingertips and/ or subungual location. Multiple extradigital glomus tumors are extremely rare. We hereby described a rare case of multiple extradigital glomus tumor of the ankle and foot in a 11 year old girl with hypoplasia of the affected limb. The patient presented with swellings over her right ankle and foot for the past 5 years. The swellings were initially painless but became painful for the past 15 months. On examination, patient’s right leg and foot appeared to be smaller when compared to the left side. There were multiple vague swellings over the dorsum of right food and lateral aspect of right ankle, which were very tender to touch. There was no overlying skin changes observed. Magnetic resonance imaging showed multiple well defined, encapsulated lesions of varying sizes at the level of distal third right fibula and foot. The lesions appeared isointense to muscle in T1-weighted image, hyperintense in T2-weighted image with enhancement post-contrast. Excision biopsy of the right lateral distal leg swelling was performed. Histopathological examination of the excised mass confirmed the diagnosis of glomus tumor. In view of her parents were not keen for any further surgical intervention, the patient will be evaluated regularly, and any enlarging painful lesions will be excised as required. The clinical diagnosis of multiple extradigital glomus tumors is much more problematic due to its rarity. The physicians must be aware of this differential diagnosis so that early diagnosis and treatment could be administered to the patients.</p>


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Meghan McCullough ◽  
Bonnie Balzer ◽  
Stuart H. Kuschner

Glomus tumors are rare benign tumors which commonly affect the hand but are seldom seen extradigitally. Less commonly seen is the glomangioma, a variant of benign glomus tumor, and even rarer is the glomangiosarcoma, a malignant variant. Determining malignancy can be difficult and an intermediate diagnosis, glomus tumor of uncertain malignant potential, has been proposed. We present a case of a 56-year-old male with a recurrent forearm mass diagnosed as a glomangioma of uncertain malignant potential. Although the characteristics and behavior of malignant cases are still incompletely understood, it is important that a high index of suspicion be maintained when approaching these tumors, especially when large or recurrent. Glomangiomas should be included in the differential diagnosis when evaluating soft tissue masses in the forearm and should be evaluated for malignant features.


2018 ◽  
Vol 10 (02) ◽  
pp. 113-115 ◽  
Author(s):  
Farid Najd Mazhar ◽  
Tina Shoushtarizadeh ◽  
Alireza Mirzaei

AbstractGlomus tumors are glomus body neoplasms that most commonly occur in the subungual areas of the hand, typically characterized by small nodules associated with localized tenderness, cold sensitivity, and excruciating paroxysmal pain. Extradigital glomus tumors can present a diagnostic challenge because they are rare and usually accompanied by nonspecific symptoms. Intravenous origin of the glomus tumor, especially in the wrist, is much rarer. The authors here report an intravenous glomus tumor of the wrist presented with atypical features such as insensitivity to cold and a history of long-term pain, which led to the misdiagnosis of the lesion as extensor tendonitis. Following the excision of the tumor mass, the patient's pain completely disappeared and no further pain was reported afterward. As a result, the authors suggest a more careful workup for the correct diagnosis of glomus tumors with such atypical manifestations. They also suggest considering intravenous glomus tumor in the differential diagnosis of a chronic wrist pain.


2020 ◽  
Vol 22 (3) ◽  
pp. 195-201
Author(s):  
Henryk Liszka ◽  
Robert Panikowski ◽  
Konrad Kwolek ◽  
Artur Gądek

Glomus tumors are very uncommon neoplasms arising from glomus bodies. They differ in the proportion of components, i.e. smooth muscle tissue, vessels and glomus cells. The most common location of this kind of tumor is the subungual area of digits. In other locations, glomus tumors are very rare but have been reported, among others, in bone, lungs, trachea and stomach. Glomus tumors are often misdiagnosed because of diverse clinical presentations. They can be asymptomatic, may lead to cosmetic discomfort, but clinical presentation often involves pain, tenderness and cold hypersensitivity. We present a case of multiple glomus tumor in the foot of a 41-year-old woman. After several surgical consultations, she had been referred for further surgery including possible ampu­tation, which she declined. Simultaneous multiple excisions of the tumors resulted in complete symptomatic relief. This case confirms that glomus tumors should be considered in a patient with multiple lesions producing ex­cruciating pain.


2021 ◽  
pp. 875647932110332
Author(s):  
Eman A. Tawfik ◽  
Ahmed Gad ◽  
Mohamed Taeimah ◽  
Naglaa Gadallah

Glomus tumors are rare benign soft tissue tumors that arise from the glomus body. They typically develop in the subungual region but may develop extradigitally anywhere, in the upper or lower limbs. Extradigital glomus tumors can be misdiagnosed for years because of their atypical position and presentation. Being aware of an extradigital glomus tumor is important because they can be encountered during imaging studies and may be the cause of the patient’s symptoms. This report presents a case of an extradigital glomus tumor, of the forearm, diagnosed during neuromuscular sonography, in a patient with chronic intractable neuropathic-like pain, along the medial side of the left forearm. Sonographic imaging of the nerves, muscles, and tendons did not reveal any abnormalities. However, meticulous imaging of all tissue layers detected a subcutaneous vascular nodule. Subsequent excision biopsy and histopathologic assessment revealed a glomus tumor. After surgery, the patient experienced dramatic relief of pain. This case report highlights the importance of careful sonographic examination of all the tissues, including skin and subcutaneous tissue layers, to avoid missing non-neuromuscular pathologies that impact patient’s management.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


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