SUBUNGUAL GLOMUS TUMOUR: THE ENIGMATIC CAUSE OF CHRONIC PAINFUL FINGER PULP - A CASE REPORT

Glomus tumour, also referred to as Barré–Masson syndrome is an enigmatic, rare, painful tumour that is that represents a proliferation of the normal capsular-neural glomus apparatus. These are rare hamartomas that arise from the traditional glomus apparatus, located in subcutaneous tissue These are benign soft tissue neoplasms presenting usually within the second to fourth decade of life, originating from the glomus body. It accounts for 1-5% of all upper limb soft tissue tumors . It's a component of the dermis layer of the [1] skin, involved in thermoregulation. It structurally consists of an arterio-venous shunt which is surrounded by a connective tissue capsule and is found in increased amounts in the ngers and toes.

Painful nail: What’s is your diagnosis

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.

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

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.

Glomus Tumour of the Lip Mimicking Squamous Cell Carcinoma - A Rare Case Report

Glomus tumour is a rare soft tissue neoplasm arising from glomus body, which is in an arteriovenous anastomosis located particularly in the dermis. This tumour occurs most commonly in hands and feet, and is seldom found in other sites. The purpose of this report is to describe an unusual case of glomus tumour in the lip. A 17-year-old woman with a firm, painless and ulcerated lump in her lower lip was admitted to our clinic. Excisional biopsy was performed, and histopathological analysis revealed the lesion to be a subtype of glomus tumour called as a glomangioma. Most glomus tumours are benign and may be treated by simple surgical excision. A typical glomus tumour of the hand is readily diagnosed, but it may occur anywhere such as oral cavity or internal organs, and its small size and atypical anatomical site presents a diagnostic dilemma. Therefore, a glomus tumour should be considered in the differential diagnosis of mass in the lips. Glomus tumour was first mentioned by Wood as a painful subcutaneous tubercle.1,2 It is classified as a pericystic (perivascular) tumour by the World Health Organization. Perivascular tumours are most frequently noticed in the superficial soft tissues at any age and are not seen commonly in the oral cavity. Synonyms for glomus tumour include glomangioma, glomangiomyoma, glomangiomatosis, glomangiopericytoma, and Popoff tumour. 3 Glomus tumour is presumed to arise from glomus body, which may be defined as a special arteriovenous anastomosis located in the stratum reticular of the dermis. It is lined by smooth muscle and glomus cells.4 The glomus body has been implicated in playing a role in thermal regulation.5 It is ubiquitous but digits are the most common sites. Clinically, the lesion is usually seen as a painful nodule located in the nail bed of the distal phalanges. Occurrence in the oral cavity is particularly rare. In this article, we present a rare case of glomus tumour located in the lower lip mimicking a malignant tumour.

A Solitary Volar Extradigital Glomus Tumor Mimicking a Painful Ganglion

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.

Glomus tumour of the iris: A case report

Introduction: Glomus tumours are rare benign tumours formed by modified smooth muscle cells arising from the glomus body. Glomus tumours occurring in the iris have not been previously reported. Case description: A 32-year-old woman presented with a 9-day history of blurred vision in her right eye. Ultrasound, computed tomography and magnetic resonance imaging confirmed the presence of a mass lesion within the iris. Surgery of the iris was performed and the tumour was removed. Histopathological analysis confirmed a glomus tumour. The patient remains clinically stable 5 months following surgery and has experienced no tumour recurrence. Conclusion: The findings from this case suggest that the typical symptoms of a glomus tumour may be absent in some cases, and that imaging examinations can help in understanding the extent of the lesion and the involvement of adjacent structures. Moreover, pathology and immunohistochemistry are crucial to confirm the diagnosis.

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

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.

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.

Sub-ungual Glomus Tumor: Study of 20 Cases

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

Glomus Tumor of the Toe

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.