Glomus Tumor on the Volar Aspect of the Distal Phalanx, an Unusual Presentation for an Unusual Neoplasm: A Case Report
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Abstract
Background: In the fingertips, the glomus tumors usually involve the subungual areas with typical triad symptoms including pain, tenderness to palpation, and cold sensitivity. The glomus tumor of volar aspect of digits is rare.
Case Presentation: A case of glomus tumor was presented at the volar side of the distal phalanx of the ring finger of a 52-year-old woman. The tumor was painful and tender to palpation, yet insensitive to cold. The atypical location and insensitivity to cold led to a 4-year delay in diagnosis. After the surgical excision of the lesion, the extracted mass was sent for histologic evaluation and the diagnosis of glomus tumor was confirmed. One-year follow-up of the patient was event-free.
Conclusions: Atypical glomus tumor should be considered in the differential diagnosis of finger pain, even in the absence of characteristic diagnostic features
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14. Giele H. Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours. J Hand Surg Br. 2002;27(2):157-8. doi: 10.1054/jhsb.2001.0724. [PubMed: 12027491].
15. Fazwi R, Chandran PA, Ahmad TS. Glomus tumour: A retrospective review of 15 years experience in a single institution. Malays Orthop J. 2011;5(3):8-12. doi:
10.5704/MOJ.1111.007. [PubMed: 25279028]. [PubMed Central: PMC4093623].
16. Fornage BD. Glomus tumors in the fingers: Diagnosis with
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17. Matloub HS, Muoneke VN, Prevel CD, Sanger JR, Yousif NJ. Glomus tumor imaging: Use of MRI for localization of occult lesions. J Hand Surg Am. 1992;17(3):472-5. doi: 10.1016/0363-5023(92)90353-q. [PubMed: 1319436].
18. Drape JL, Idy-Peretti I, Goettmann S, Guerin-Surville H, Bittoun J. Standard and high resolution magnetic resonance imaging of glomus tumors of toes and fingertips. J Am Acad Dermatol. 1996;35(4):550-5. doi: 10.1016/s0190-9622(96)90678-7. [PubMed: 8859282].
2. Masson P. Le lomus neuromyoarteriel des regions tactiles et ses tumeurs. Lyon chirurgical. 1924;21:257-80. [Article in French].
3. Goldblum AJ, Weiss SW, Folpe AL. Enzinger and Weiss's soft tissue tumors E-Book. Philadelphia, PA: Elsevier Health Sciences; 2013.
4. Schiefer TK, Parker WL, Anakwenze OA, Amadio PC, Inwards CY, Spinner RJ. Extradigital glomus tumors: A 20-year experience. Mayo Clin Proc. 2006;81(10):1337-44. doi: 10.4065/81.10.1337. [PubMed: 17036559].
5. Najd Mazhar F, Shoushtarizadeh T, Mirzaei A. Intravascular glomus tumor of the wrist causing chronic wrist pain. J Hand Microsurg. 2018;10(2):113-5. doi: 10.1055/s-0038-1626683. [PubMed: 30154627]. [PubMed Central: PMC6103760].
6. Gombos Z, Zhang PJ. Glomus tumor. Arch Pathol Lab Med.
2008;132(9):1448-52.doi:10.1043/1543-
2165(2008)132[1448:GT]2.0.CO;2. [PubMed: 18788860].
7. Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L, et al. Glomus tumours of the hand. A retrospective study of 51 cases. J Hand Surg Br. 1996;21(2):257-60. doi: 10.1016/s0266-7681(96)80110-0. [PubMed: 8732413].
8. Sorene ED, Goodwin DR. Magnetic resonance imaging of a tiny glomus tumour of the fingertip: A case report. Scand J Plast Reconstr Surg Hand Surg. 2001;35(4):429-31.doi: 10.1080/028443101317149417. [PubMed: 11878181].
9. Carroll RE, Berman AT. Glomus tumors of the hand: Review of the literature and report on twenty-eight cases. J Bone Joint Surg Am. 1972;54(4):691-703. [PubMed: 4341268].
10. Santoshi JA, Kori VK, Khurana U. Glomus tumor of the fingertips: A frequently missed diagnosis. J Family Med Prim Care. 2019;8(3):904-8. doi: 10.4103/jfmpc.jfmpc_88_19. [PubMed: 31041222]. [PubMed Central: PMC6482761].
11. Rosner IA, Argenta AE, Washington KM. Unusual Volar Pulp Location of Glomus Tumor. Plast Reconstr Surg Glob Open. 2017;5(1):e1215. doi: 10.1097/GOX.0000000000001215. [PubMed: 28203512]. [PubMed Central: PMC5293310].
12. Shin DK, Kim MS, Kim SW, Kim SH. A painful glomus tumor on the pulp of the distal phalanx. J Korean Neurosurg Soc. 2010;48(2):185-7. doi: 10.3340/jkns.2010.48.2.185. [PubMed: 20856673]. [PubMed Central: PMC2941867].
13. Dwidmuthe S, Nemade A, Rai S. Glomus tumor of thumb occurring at unusual location. J Surg Tech Case Rep. 2013;5(2):92-4. doi: 10.4103/2006-8808.128745. [PubMed: 24741428]. [PubMed Central: PMC3977333].
14. Giele H. Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours. J Hand Surg Br. 2002;27(2):157-8. doi: 10.1054/jhsb.2001.0724. [PubMed: 12027491].
15. Fazwi R, Chandran PA, Ahmad TS. Glomus tumour: A retrospective review of 15 years experience in a single institution. Malays Orthop J. 2011;5(3):8-12. doi:
10.5704/MOJ.1111.007. [PubMed: 25279028]. [PubMed Central: PMC4093623].
16. Fornage BD. Glomus tumors in the fingers: Diagnosis with
US. Radiology. 1988;167(1):183-5. doi: 10.1148/radiology.167.1.2831563. [PubMed: 2831563].
17. Matloub HS, Muoneke VN, Prevel CD, Sanger JR, Yousif NJ. Glomus tumor imaging: Use of MRI for localization of occult lesions. J Hand Surg Am. 1992;17(3):472-5. doi: 10.1016/0363-5023(92)90353-q. [PubMed: 1319436].
18. Drape JL, Idy-Peretti I, Goettmann S, Guerin-Surville H, Bittoun J. Standard and high resolution magnetic resonance imaging of glomus tumors of toes and fingertips. J Am Acad Dermatol. 1996;35(4):550-5. doi: 10.1016/s0190-9622(96)90678-7. [PubMed: 8859282].
| Files | ||
| Issue | Vol 4, No 2 (2018) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v4i2.2961 | |
| Keywords | ||
| Glomus Tumor; Finger Phalanges; Differential Diagnosis | ||
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How to Cite
1.
Hajialiloo Sami S, Khorrami A, Noori S. Glomus Tumor on the Volar Aspect of the Distal Phalanx, an Unusual Presentation for an Unusual Neoplasm: A Case Report. J Orthop Spine Trauma. 2020;4(2):32-34.
