Glomangioma: A Rare Case Report

Abstract

Glomus tumors are benign localized tumors of the skin accounting for 1% to 2% of all soft tissue tumors. They may present as a solitary tumor or multiple tumors, termed glomangioma. They are usually solitary, small bluish, painful lesions usually located under the fingernails. They are more common in females than in males. Multiple lesions are slightly more common in males and they develop 10-15 years earlier than single lesions; about one third of the cases of multiple tumors occur in those younger than 20 years. Multiple tumors are less likely to be painful. Congenital glomus tumors are rare; they are plaque like in appearance and are considered a variant of multiple glomus tumors. Familial glomangiomas have been associated with a variety of deletions in the glomulin gene, and are inherited in an autosomal dominant manner, with incomplete penetrance. A 30 year-oldmale patient presented with asymptomatic multiple lesions of about 2 years duration. Clinical examination demonstrated numerous greenish blue nodules overchest, back, lower extremity. Histological examination revealed non-capsulated inflammatory infiltrate with multiple irregular vascular channels lined with endothelial cells. Multiple RBCs are also, present within the vascular channels consistent with glomangioma. We are reporting a rare case of glomangioma.