A painless glomus tumor: a case report

Jouari, Ouiame El; Gallouj, S.; Elloudi, Sara; Senhaji, Ghita; Rimani, M.; Mernissi, Fatima Zahra

doi:10.1186/s13256-018-1837-2

Cited by 11 publications

(33 citation statements)

References 6 publications

(21 reference statements)

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“…Jawalkar described nail plate deformity in only one of 12 patients but attributed it to previous surgery 23 . Individual cases with onycholysis and onychorrhexis have also been reported 14,29 . Subungual erythematous or bluish spots (seen on clinical examination in seven of our patients) is a commonly described feature 7,20,23 .…”

Section: Discussionmentioning

confidence: 69%

Clinical and onychoscopic characteristics of subungual glomus tumor: a cross‐sectional study

2020

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Background Subungual glomus tumor is a relatively uncommon entity with varied clinical presentations which may lead to diagnostic delays. Onychoscopy can be used as an evaluation tool in routine evaluation of glomus tumors. Objectives and methods With an aim to characterize the onychoscopic features of subungual glomus tumors, we analyzed 15 cases presenting over 3 years, in this observational study. The clinical, onychoscopic, radiological, and operative findings in these patients were evaluated and correlated depending on the location and extent of the lesions. Results All 15 patients (11 female and 4 male) had pain as the presenting symptom and fulfilled the classic triad of paroxysmal pain, cold sensitivity, and positive Love's pin test. Clinical nail plate findings included onycholysis, onychorrhexis with distal splitting, and onychoschizia, while nail bed and matrix findings included localized erythematous and bluish patches, longitudinal erythema, and altered lunula. Onychoscopy corroborated the clinical findings and revealed a more extensive area of involvement in five cases. Definitive onychoscopy findings included a localized structureless erythema interspersed with bluish and patchy whitish areas (five cases of nail bed and six nail matrix tumors) and a “candy‐cane appearance” (six cases, all large and lobulated nail matrix tumors). MRI reported the tumor in 13 cases, while two nail matrix tumors were missed. Transungual excision revealed tumors larger in size than predicted by MRI. The presence of candy‐cane appearance was consistent with lobulated matrix tumors. Conclusion Onychoscopy improves the intraoperative detection of location and extent of subungual glomus tumors. Nail bed and nail matrix glomus tumors can have distinctive onychoscopic features that may help in better surgical planning.

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Section: Discussionmentioning

confidence: 69%

Clinical and onychoscopic characteristics of subungual glomus tumor: a cross‐sectional study

2020

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“…This type is usually seen in multiple glomus tumors [25]. Glomangiomyoma contains multiple smooth muscle cells [1]. Other variants, such as plaque type and patch type have been described as well [27].…”

Section: Discussionmentioning

confidence: 99%

“…Glomus tumors are rare, benign, vascular tumors with a classic clinical presentation and typical symptoms of long-term pain and sensitivity to touch [1]. They arise from neuromyoarterial structures called glomus bodies.…”

Section: Introductionmentioning

confidence: 99%

Unusual Location of Glomus Tumors

Bistazzoni¹,

Polosa²,

Bellocchi³

2020

Case Rep Imag Surg

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Glomus tumors are rare, benign lesions that arise from glomus bodies present in the stratum reticularis throughout the body, but they are highly concentrated in the tips of the digits, especially under the nail. Although glomus tumors are benign lesions, they can cause disabling symptoms, therefore early diagnosis and treatment is important. We report an exceptional case of glomangioma of the calf.

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“…Regarding the delay in diagnosis, defined as the time elapsed from the onset of symptoms to the definitive diagnosis, 22 articles mention this variable, with a maximum value of 50 years in 1 publication, 9 and a minimum of 6 months in 2, 12,15 although most of them (19 articles 10,12,[14][15][16][19][20][21][23][24][25][26][28][29][30]33,36,40 ) refer to periods from 1 to 10 years.…”

Section: Clinical Diagnosis Time Until Diagnosismentioning

confidence: 99%

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

Hernandez

Lena

Camacho

et al. 2021

Revista Iberoamericana de Cirugía de la Mano

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Glomus 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.

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A painless glomus tumor: a case report

Cited by 11 publications

References 6 publications

Clinical and onychoscopic characteristics of subungual glomus tumor: a cross‐sectional study

Clinical and onychoscopic characteristics of subungual glomus tumor: a cross‐sectional study

Unusual Location of Glomus Tumors

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

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