scholarly journals Painful nail: What’s is your diagnosis

2021 ◽  
Vol 12 (e) ◽  
pp. e73-e73
Author(s):  
Ibtissam Al Faker ◽  
Farah Marraha ◽  
Salim Gallouj
Keyword(s):  
Clinical Examination ◽  
Glomus Tumor ◽  
Surgical Excision ◽  
Main Symptom ◽  
Original Case ◽  
Glomus Body

A glomus tumor is a rare benign neoplasia; which involves a thermoregulatory microvascular system, the glomus body. It is often found in the subungual tissue. Eccrine angiomatous Hamartoma (EAH) is a rare proliferation of vascular and eccrine structures. We present an original case by its location, clinical examination (pain is the main symptom with onycholysis) and its misleading appearance on MRI. The treatment consists of surgical excision of the tumor with good evolution. We will insist on the histological exam of the piece, which is the key to the diagnosis.

scholarly journals Sub-ungual Glomus Tumor: Study of 20 Cases

2017 ◽  
Vol 12 (2) ◽  
pp. 64-67
Author(s):  
Md Maiyeen Uddin ◽  
Swapan Kumar Biswas ◽  
Md Habibur Rahman ◽  
Narayan Chandra Karmakar ◽  
Md Masudur Rahman ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Glomus Tumor ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Resonance Imaging ◽  
Glomus Tumors ◽  
Long Period ◽  
Tumor Study ◽  
Lancinating Pain ◽  
Glomus Body

Glomus tumors are benign hamartoma of glomus body. It accounts 1-5% of all soft tissue tumors of hand. They can cause recurrent episodes of intense lancinating pain and disability. Patients often undergo undiagnosed or misdiagnosed for many years because the tumors are small. Twenty patients were operated during the period of 2010 to 2015. Most of the cases were selected on the basis of clinical diagnosis. The help of magnetic resonance imaging was taken in suspicious cases. The only treatment of glomus tumor is total surgical excision. In this study surgical excision were performed by direct trans-ungual approach. All patients showed dramatic relief of pain after surgical excision. Early diagnosis and surgical excision decreases patient's sufferings from severe pain and disability. Eagerness in early diagnosis and surgical excision can reduce long period of sufferings.Faridpur Med. Coll. J. Jul 2017;12(2): 64-67

scholarly journals Digital Glomus Tumor: Bibliographic Review of the Studies Published over the Past 10 Years

2021 ◽  
Vol 49 (01) ◽  
pp. 046-055
Author(s):  
Victoria Hernández ◽  
Tania Lena ◽  
Eliana Camacho ◽  
Matías Craviotto
Keyword(s):  
Glomus Tumor ◽  
Case Reports ◽  
Low Frequency ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Glomus Tumors ◽  
The Past ◽  
Pubmed Search ◽  
Magnetic Resonance Imaging Mri

AbstractGlomus tumors are a mostly benign neoplasm that constitutes less than 4% of upper-limb soft-tissue tumors. Its unspecific clinical presentation, added to its low frequency, leads to a late diagnosis.The objective of the present study is to update the clinical-paraclinical approach and the surgical technique used in the treatment.We carried out a literature review from 2014 to 2019 on digital glomus tumor in the hand in adult patients using the PubMed search engine.In most of the publications analyzed, the diagnosis was clinical, with a delay of 1 to 10 years. Plain radiography is the most requested study; of the 16 articles reporting its indication, only half evidenced compatible changes. Magnetic resonance imaging (MRI) was requested in 15 articles, presenting normal results in 3 of them. The treatment of choice was surgical excision using a transungual approach. Only 4 articles report recurrence after excision.Although there is diversity in the approach to these tumors, we conclude that the diagnosis is clinical, and the treatment surgical, and there is no consensus regarding the paraclinical indication. The information available comes mainly from case reports, publications that contribute to the generation of evidence for the clinical practice in rare diseases such as this one.

scholarly journals Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sang Ki Lee ◽  
Dae Geon Song ◽  
Won Sik Choy
Keyword(s):  
Chronic Pain ◽  
Glomus Tumor ◽  
Rare Condition ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Glomus Tumors ◽  
Contrast Magnetic Resonance ◽  
History Of ◽  
Subcutaneous Layer ◽  
Magnetic Resonance Imaging Mri

Introduction. A glomus tumor is a benign vascular tumor derived from glomus cells and occurs mainly in the subcutaneous layer of the subungual or digital pulp. Extradigital glomus tumors have been reported within the palm, wrist, forearm, foot, bone, stomach, colon, cervix, and mesentery. Glomus tumors can originate from the intraosseous, intramuscular, periosteal, intravascular, and intraneural layers. However, a glomus tumor originating from the intravascular layer of the forearm is a rare condition.Case Report. A 44-year-old woman had a 7-year history of chronic pain and focal tenderness of the forearm. No hypersensitivity or sensory alterations were observed. Contrast magnetic resonance imaging (MRI) showed a mass measuring 5 × 3 × 2 mm leading to a vein. Surgical excision was performed, and the tumor was completely resected. Finding of gross examination revealed a dark-red, well-defined soft tissue tumor, and histologic examination confirmed that the mass was a glomus tumor. The patient’s symptoms were completely resolved postoperatively.Conclusion. Intravascular glomus tumors rarely occur in the forearm; therefore, a thorough physical exam, comprehensive medical history, in-depth imaging, and early surgical excision upon clinical suspicion may be helpful to prevent a delayed or incorrect diagnosis.

scholarly journals Subungual Glomus Tumor- Clinical Presentation And Treatment

2014 ◽  
Vol 3 (2) ◽  
pp. 45-48 ◽  
Author(s):  
Shyamal Chandra Debnath ◽  
Suman Kumar Roy ◽  
RR Kairy
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Clinical Presentation ◽  
Glomus Tumor ◽  
Rare Condition ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Delay In Diagnosis ◽  
Nail Deformity

Glomus tumor is a rare condition and constitutes only 1 % of all soft tissue tumor of body. Glomus tumor is familiar for its unusual presentation and long standing symptoms due to delay in diagnosis. Authors have presented the clinical behavior and treatment of 7 patients with subungual soft tissue mass. Following surgical excision, all patients cured of symptoms, at the end of follow up, no recurrence occurred; post operative nail deformity was insignificant. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18250 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 45-48

scholarly journals An unusual case of genital filariasis of the testicular tunics in an Italian patient

2021 ◽  
Vol 41 (3) ◽  
pp. 186-189
Author(s):  
Alessia Fassari ◽  
Andrea Polistena ◽  
Giorgio De Toma ◽  
Enrico Fiori
Keyword(s):  
Medical Treatment ◽  
Adult Worm ◽  
Clinical Examination ◽  
Unusual Case ◽  
Surgical Excision ◽  
Singular Case ◽  
Short Term ◽  
Italian Patient ◽  
Immigrant Patient ◽  
Endemic Areas

At least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Clinical examination and ultrasound detected a mass of 40×18 mm in the scrotum without signs of varicocele, hydrocele and testicular or epididymal abnormalities. After ineffective medical treatment, the patient underwent surgical excision. Histology demonstrated filarial granuloma with thick cuticles pathognomonic of an adult worm in the testicular tunics. Surgery has a fundamental role in localized cases of GF to remove nematodes from the fibrotic nodules. The present manuscript describes a singular case of GF observed in Italy in a non-immigrant patient with evidence of remnants of an adult worm in the testicular tunics. SIMILAR CASES PUBLISHED: 11

scholarly journals Complications of Stapled Haemorrhoidectomy for Primary Haemorrhoid – Our Experience in ShSMCH

2018 ◽  
Vol 9 (2) ◽  
pp. 78-82
Author(s):  
Krishna Pada Saha ◽  
Md Ibnul Hasan ◽  
Fayem Chowdhury ◽  
Abdullah Md Abu Ayub Ansary ◽  
Sadia Imdad ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Clinical Examination ◽  
Rectal Bleeding ◽  
Anal Pain ◽  
Main Symptom ◽  
Mild Pain ◽  
Operative Complication ◽  
Presenting Symptoms ◽  
Stapled Haemorrhoidectomy ◽  
Flatus Incontinence

Objective: The aim of the study was to cheek the rate of significant complications amongst the patients undergoing Stapled haemorrhoidectomy. This study reflects our experience with Stapled haemorrhoidectomy in our Population.Methods: Two hundred and ninety patients with primary hemorrhoid of different degree underwent staple Hemorrhoidectomy in ShSMCH since January 2011 to December 2016. All patients were evaluated by history, clinical examination and proctosigmoidoscopy. They were followed up post operatively at 1, 3, 6, 12, 15, 18 Month.Result : Regarding presenting symptoms (pain less) per rectal bleeding was the main symptom (89%). Bulk of the pt were 3rd degree(50.16%). Regarding post operative complication – Urgency of defecation was most frequent (19%). Others were Urinary retention (4.5%), anal pain (4.01%), reactionary hemorrhage (4.01%). Regarding late post operative complication most frequent was mild pain (3.34%); others were – flatus incontinence, stenosis, recurrent haemorrhoid, fissure.Conclusion : Stapled haemorrhaidectomy is widely used, quick, safe and effective method of treating all degree of primary hemorrhoid with some complications. Therefore surgeon should be well aware of the type and post operative complicationsJ Shaheed Suhrawardy Med Coll, December 2017, Vol.9(2); 78-82

scholarly journals Glomus Tumor of the Oral Cavity: Report of a Rare Case and Literature Review

2019 ◽  
Vol 30 (2) ◽  
pp. 185-190 ◽  
Author(s):  
Celeste Sánchez-Romero ◽  
Maria Eduarda Pérez de Oliveira ◽  
Jurema Freire Lisboa de Castro ◽  
Elaine Judite de Amorim Carvalho ◽  
Oslei Paes de Almeida ◽  
...  
Keyword(s):  
Literature Review ◽  
Oral Cavity ◽  
Rare Case ◽  
English Language ◽  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Upper Lip ◽  
Middle Aged Adults ◽  
Glomus Body ◽  
Language Literature

Abstract Glomus tumor is a benign neoplasm composed of a perivascular proliferation of glomic cells that resembles the normal glomus body. Usually, it appears as a solitary, symptomatic small blue-red nodule, located in the deep dermis or subcutis of upper or lower extremities of young to middle-aged adults. Cases affecting the oral cavity are very rare, with only 23 well-documented cases reported in the English-language literature. Herein, we present a rare case of glomus tumor of the upper lip, and review the literature of cases involving the mouth.

Eponychial flap elevation method for surgical excision of a subungual glomus tumor

2020 ◽  
Vol 33 (6) ◽  
Author(s):  
Tae Hui Bae ◽  
Hyeon Seok Kim ◽  
Jae Sung Lee
Keyword(s):  
Glomus Tumor ◽  
Surgical Excision ◽  
Flap Elevation

scholarly journals A 15-year mystery resolved: a large bone-boring glomus tumor mistaken as dermatitis

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Sarah Bouayyad ◽  
Mohamed Abdelaty ◽  
Anuj Mishra
Keyword(s):  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Clinical Tests ◽  
Cold Intolerance ◽  
X Ray ◽  
Complete Surgical Excision ◽  
Large Bone ◽  
Paroxysmal Pain

Abstract Glomus tumor (GT) is a rare, benign neoplasm of the glomus apparatus. Being most common in the subungual region, it often misdiagnosed with dermatological conditions. Severe tenderness, paroxysmal pain and cold intolerance symptomatically denote GT. Clinical tests such as Love’s pin test and Hildreth’s test assist in diagnosing the disease. X-ray, ultrasonography and magnetic resonance imaging can confirm the severity of the lesion. Complete surgical excision is the only treatment available for these subcutaneous nodules. A middle-aged male with a hand pain, who misdiagnosed for dermatitis over 15-year period, has identified as having a large bone-boring GT. Awareness of GT among healthcare professionals is a must to increase the quality of life of patients.

Short-Scar Surgical Approach for the Treatment of Glomus Tumor of the Digit

2011 ◽  
Vol 15 (1) ◽  
pp. 21-28
Author(s):  
Emanuele Cigna ◽  
Francesca Palumbo ◽  
Liliana De Santo ◽  
Andrea Edoardo Zampieri ◽  
Giuseppe Soda
Keyword(s):  
Surgical Approach ◽  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Radical Resection ◽  
Surgical Approaches ◽  
Complete Regression ◽  
Recurrence Rates ◽  
Glomus Tumors ◽  
Short Scar

Background: A glomus tumor is a biologically benign neoplasm. The traditional surgical approach to treat this tumor boasts the lowest recurrence rates but may cause nail deformities. Objective: A short-scar surgical approach was applied, with the aim of preserving the aesthetics of the nail. Methods: Between January 1999 and January 2009, 25 patients who underwent surgery for a glomus tumor were included in the study. All patients underwent radical resection with three different surgical approaches based on the location of the tumor. Results: All patients who were operated on had complete regression of pain immediately after surgery and at postsurgery follow-ups. Conclusion: The treatment of glomus tumors consists of surgical excision, which is successful if properly executed. Excision of sensitive afferent nervous fibers is a prerequisite to achieve regression of pain. A short-scar surgical approach ensures complete eradication of the tumor and preservation of nail aesthetics.

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