Extradigital glomus tumor mimicking osteomuscular disease

Souza, Bruno de Castro e; Luce, Maria Claudia Alves; Sittart, José Alexandre de Souza; Valente, Neusa Yuriko Sakai

doi:10.1590/abd1806-4841.20187559

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…However, our patient was diagnosed with a glomangioma at 40 years old, with complaints since the age of 33. Three common symptoms of sensitivity to cold, pain on palpation, and paroxysmal help identify a glomus tumor [ 14 ]. In a case study of 51 patients, 29% presented a blue discoloration and 33% presented a pulp nodule [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Rare Occurrence of Extradigital Glomangioma in the Prepatellar Bursa of a 40-Year-Old: A Case Study

Crawford¹,

O’Malley²,

Samuel³

2022

JOCR

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Introduction: A solitary subcutaneous mass can be a common clinical finding for patients symptomatic for knee pain, especially when direct pressure by kneeling on the anterior aspect of the knee causes pain. Case Report: We present a 40-year-old who noticed a small fluid filled mass that has become progressively larger and more painful over the past 7 years. The patient’s primary complaint was sharp pain with direct contact. Ultimately, a surgical excision was performed to remove the mass. The histopathological report came back as a glomangioma, a subtype of a glomus tumor. To the best of our knowledge, this is the youngest reported case of a glomangioma of the knee. Conclusion: Glomus tumors found on the digital and subungual regions of patients are a common clinical finding. An extradigital occurrence of a glomangioma, a subtype of a glomus tumor, is rarely found, especially in younger patients. Therefore, a histopathological examination must be done after the removal of any subcutaneous mass.

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Section: Discussionmentioning

confidence: 99%

“…Knee pain caused by a glomus tumor is a rare occurrence and is often miss diagnosed [ 14 , 15 ]. A case study at the University of Florida reported that a patient attempted to have a cyst in the superficial soft tissue of their patella removed.…”

Section: Discussionmentioning

confidence: 99%

Rare Occurrence of Extradigital Glomangioma in the Prepatellar Bursa of a 40-Year-Old: A Case Study

Crawford¹,

O’Malley²,

Samuel³

2022

JOCR

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Glomus tumors around or in the knee: a case report and literature review

Wang

et al. 2022

BMC Surg

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Background Glomus tumors commonly affect the extremities, especially subungual. And glomus tumors rarely occur around knee, which are often misdiagnosed. A lack of experience with glomus tumors is likely the cause. Case presentation A 42-year-old female presented with continuous dull pain of right knee for the past 7 years. Severe pain was experienced after walking a few hundred meters or climbing up or down stairs. The patient had a slight limp, and the lateral superior aspect of her right knee was tender to palpation. The range of motion and skin around her right knee were normal. Magnetic resonance imaging revealed a well-defined abnormal lesion confluent with the periosteum on the femoral lateral supracondylar. She was finally diagnosed with glomus tumor according to pathological results. After surgery, the pain disappeared, and the patient was discharged three days postoperatively. At the 18-month follow-up visit, the patient reported sustained pain relief, and regular follow-ups were continued. Additionally, 30 published reports documenting 36 cases of glomus tumors around the knee were reviewed, which showed that 20% of all reported cases of glomus tumor around the knee had a history of trauma. The median age for male with glomus tumor was greater than that of female; however, the median duration of illness between the two groups was equivalent. The mean diameters of glomus tumors ranged from 4 to 65 mm, and locations around the knee included the knee joint cavity, soft tissue (e.g. popliteal fossa, patellar tendon, iliotibial band, and Hoffa’s fat pad), distal femur, and proximal tibia. Conclusion Literature review demonstrated that no significant differences were found between male and female with glomus tumor in regard to location (left or right side) and illness duration. It was noting that a history of trauma may be a cause of glomus tumor and approximate 94.4% of glomus tumors was benign. The most effective therapy accepted for glomus tumors is complete surgical excision, and recurrence was rare after complete surgical excision.

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Prepatellar Glomus Tumor of the Knee without an Identifiable Mass on MRI

Berlinberg

Markus

Jour

et al. 2021

JBJS Case Connector

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Case: A 71-year-old man presented with extreme anterior knee pain. His history, physical examination, and imaging were consistent with prepatellar bursitis, but his pain seemed out of proportion for these findings. The patient eventually underwent marginal excision of the inflamed prepatellar bursa which histopathology identified as a glomangioma. Postoperatively, he has complete resolution of his pain and has returned to his daily activities. Conclusion: Glomus tumors are a rare cause of severe knee pain that completely resolves after excision. In the patient with extreme, localized knee sensitivity, it is important to consider this pathology even if no mass is identified on imaging.

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Extradigital glomus tumor mimicking osteomuscular disease

Cited by 3 publications

References 5 publications

Rare Occurrence of Extradigital Glomangioma in the Prepatellar Bursa of a 40-Year-Old: A Case Study

Rare Occurrence of Extradigital Glomangioma in the Prepatellar Bursa of a 40-Year-Old: A Case Study

Glomus tumors around or in the knee: a case report and literature review

Prepatellar Glomus Tumor of the Knee without an Identifiable Mass on MRI

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