Unusual location of a glomangioma: a case report

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.

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Case Report: Glomus Tumor of the Thigh

Journal for Vascular Ultrasound ◽

10.1177/1544316721999138 ◽

2021 ◽

pp. 154431672199913

Author(s):

Jessica Kralec

Keyword(s):

Case Report ◽

Glomus Tumor ◽

Benign Tumors ◽

Diagnostic Challenge ◽

Glomus Tumors ◽

Superficial Thrombophlebitis ◽

History Of ◽

The Right ◽

Cold Hypersensitivity ◽

Extradigital Glomus

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.

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Glomus Tumor of the Toe

Journal of the American Podiatric Medical Association ◽

10.7547/15-161 ◽

2017 ◽

Vol 107 (3) ◽

pp. 257-260 ◽

Cited By ~ 1

Author(s):

Robert L.B. Sprinkle ◽

Omar P. Sangueza ◽

Gregory A. Schwartz

Keyword(s):

Glomus Tumor ◽

The Body ◽

Cold Sensitivity ◽

Middle Phalanx ◽

Soft Tissue Lesion ◽

Glomus Tumors ◽

Common Presentation ◽

Neoplastic Lesion ◽

Second Toe ◽

Glomus Body

A glomus tumor is an uncommon, predominantly benign, neoplastic lesion that primarily involves a thermoregulatory microvascular apparatus, the glomus body. Although these lesions can occur anywhere in the body, the subungual tissue of the hand represents the most common presentation site. Glomus tumors are not often encountered in the foot. Symptoms traditionally include the classic triad of pain, pressure, and cold sensitivity. This case report describes a variant location for a glomus tumor in the subcuticular tissue adjacent to the medial middle phalanx of the second toe. The nonsubungual location for this presentation should prompt the inclusion of glomus tumor in a digital soft-tissue lesion differential diagnosis. The lesion was excised surgically and was subsequently diagnosed histopathologically as a glomus tumor.

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A Solitary Volar Extradigital Glomus Tumor Mimicking a Painful Ganglion

Case Reports in Orthopedic Research ◽

10.1159/000511427 ◽

2021 ◽

pp. 6-10

Author(s):

Dae-Geun Kim ◽

Seung-Rim Kang

Keyword(s):

Literature Review ◽

Skin Temperature ◽

Glomus Tumor ◽

Distal Phalanx ◽

Benign Tumors ◽

Glomus Tumors ◽

Extradigital Glomus ◽

Glomus Body

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.

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Glomus tumor of small intestine: case report and review of literature

10.21203/rs.3.rs-318644/v2 ◽

2021 ◽

Author(s):

Yan Tan ◽

Xinyi Wang ◽

Guifang Yang ◽

Lan Liu ◽

Jun Fang ◽

...

Keyword(s):

Small Intestine ◽

Case Report ◽

Female Patient ◽

Glomus Tumor ◽

Review Of Literature ◽

Clinical Imaging ◽

Glomus Tumors ◽

Rare Tumors ◽

Pathologic Features ◽

Glomus Body

Abstract Glomus tumors are exceedingly rare tumors arising from the normal glomus body. Only a very few cases located in the small intestine were reported to date. Here, we present a case of glomus tumor of the jejunum in a 30-year-old female patient, and discuss its clinical, imaging, and pathologic features.

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Extradigital Glomus Tumor of the Forearm Identified During Neuromuscular Ultrasound: A Case Report

Journal of Diagnostic Medical Sonography ◽

10.1177/87564793211033240 ◽

2021 ◽

pp. 875647932110332

Author(s):

Eman A. Tawfik ◽

Ahmed Gad ◽

Mohamed Taeimah ◽

Naglaa Gadallah

Keyword(s):

Case Report ◽

Glomus Tumor ◽

Subcutaneous Tissue ◽

Lower Limbs ◽

Excision Biopsy ◽

Sonographic Examination ◽

Glomus Tumors ◽

Medial Side ◽

Benign Soft Tissue Tumors ◽

Extradigital Glomus

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.

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Primary pancreatic glomus tumor invading into the superior mesenteric vein: a case report

Surgical Case Reports ◽

10.1186/s40792-020-01058-7 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Ichiro Tamaki ◽

Yohei Hosoda ◽

Hironobu Sasano ◽

Yu Sasaki ◽

Hidenori Kiyochi ◽

...

Keyword(s):

Case Report ◽

Tumor Cells ◽

Solid Tumor ◽

Superior Mesenteric Vein ◽

Glomus Tumor ◽

Small Cells ◽

Histopathological Analysis ◽

Glomus Tumors ◽

Mesenteric Vein ◽

Direct Invasion

Abstract Background Glomus tumors are subcutaneous tumors arising from glomus bodies, thermoregulatory components of the skin. These tumors could occur in visceral organs where glomus bodies are not normally present. Herein, we report a case of primary pancreatic glomus tumor with aggressive direct invasion into the superior mesenteric vein (SMV). To the best of our knowledge, this is the second case report of a glomus tumor arising in the pancreas. Case presentation A 46-year-old woman was referred to our hospital due to vomiting with epigastric and back pain. Dynamic-CT revealed a well-circumscribed hypervascular mass, measuring 37 mm in its maximal diameter involving the pancreatic head. Both CT and endoscopic ultrasonography (EUS) revealed direct invasion into the SMV and radiologically suspected tumor thrombus. Biopsy sample obtained by EUS-guided fine needle aspiration revealed proliferation of small cells, round-to-oval tumor cells with round nuclei and scant cytoplasm. A histological diagnosis of pancreatic neuroendocrine tumor, G1 was initially considered. Therefore, subtotal stomach-preserving pancreatoduodenectomy using Child-II reconstruction was subsequently performed. Her SMV was resected and reconstructed due to extensive tumor involvement. Subsequent histopathological analysis revealed solid tumor cells proliferation that comprised oval-shaped nuclei and scant cytoplasm around disorganized or slit-shaped vessels in hematoxylin–eosin-stained slides. Immunohistochemical analysis then demonstrated positive immunoreactivity for smooth muscle actin, vimentin, and CD34, but negative for chromogranin A, synaptophysin, CD56, and signal transducer and activator of transcription 6. Based on these histological findings of resected specimens, the lesion was subsequently diagnosed as a primary pancreatic glomus tumor harboring direct invasion into the SMV. Her postoperative course was uneventful and annual surveys for the following 4 years post-op detected no clinical signs of recurrence. Conclusions We report a very rare case of glomus tumor of the pancreas accompanied by venous invasion. Curative surgical resection is the best treatment option for pancreatic glomus tumors. Although pancreatic glomus tumor is rare, it should be taken into consideration in the differential diagnosis of a pancreatic solid tumor with hypervascularity.

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A Rare Cause of Calf Pain: Extradigital Glomus Tumor: Case Report

Turkiye Klinikleri Journal of Medical Sciences ◽

10.5336/medsci.2010-19880 ◽

2012 ◽

Vol 32 (3) ◽

pp. 854-858

Author(s):

Gürsel SAKA ◽

Salih Murat DURKAYA ◽

Fatih KÜÇÜKDURMAZ ◽

Necdet SAĞLAM ◽

Murat Hakan KARABULUT

Keyword(s):

Case Report ◽

Glomus Tumor ◽

Calf Pain ◽

Extradigital Glomus

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Extradigital Glomus Tumor of Thigh

Case Reports in Surgery ◽

10.1155/2015/638283 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Kemal Beksaç ◽

Lutfi Dogan ◽

Nazan Bozdogan ◽

Gulay Dilek ◽

Gokhan Giray Akgul ◽

...

Keyword(s):

High Temperature ◽

Soft Tissue ◽

Glomus Tumor ◽

Soft Tissue Tumors ◽

Benign Neoplasms ◽

Rare Entity ◽

Glomus Tumors ◽

Classical Triad ◽

High Temperature Sensitivity ◽

Extradigital Glomus

Glomus tumors are benign neoplasms that arise from neuromyoarterial glomus bodies. They represent around 1–5% of all soft-tissue tumors. High temperature, sensitivity, and pain and localized tenderness are the classical triad of symptoms. Most glomus tumors represent in the subungual area of digits. Extradigital glomus tumors are a very rare entity. There are rare cases of these tumors reported to be in shoulder, elbow, knee, wrist, even stomach, colon, and larynx. We are reporting a case of a glomus tumor on thigh and discuss the histological and immunohistochemical features.

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