Glomus tumour of the fourth toe: case discussion and review of literature

Romanos, Elie; Delfi, Firas Al; Hubballah, Malek; Farah, Carl

doi:10.1136/bcr-2019-231100

Cited by 5 publications

(13 citation statements)

References 20 publications

(21 reference statements)

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“…[17] X-ray imaging often reveals phalangeal bony erosion; however, it is not suitable as a discriminatory diagnostic test. [18] Color duplex ultrasound is suitable for diagnosing masses smaller than 2 mm, with a specificity of 67% and a detection rate of 100% without false negatives. [19,20] On ultrasound examination, it typically presents a characteristic hypervascular hypoechoic mass appearance.…”

Section: Discussionmentioning

confidence: 99%

Nail-preserving excision of glomus tumor in the second toe: Case report and literature review

Park,

Han,

Seo

2024

Medicine

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Introduction: This case report describes the diagnosis of a glomus tumor in the second toe of a 38-year-old female, followed by surgical treatment utilizing a transungual approach to preserve the nail. This study highlights the diagnostic challenges and surgical strategies to treat such tumors while preserving nail integrity. Patient concerns: Pain occurred once a week, but over time, it increased, and just before seeking medical attention, she experienced pain more than 5 times a day. The pain worsened when cold water touched her toe. Diagnosis: We observed a slight hump indicating nail plate deformity, and the patient exhibited severe pinpoint tenderness (positive Love test) in the affected area. Color duplex ultrasound was performed for further investigation, revealing a hypervascular hypoechoic nodule measuring 0.5 cm in size at the nail bed of the right second toe. Intervention: The surgery was performed under digital nerve block anesthesia using a modified transungual nail-preserving approach for the excision of the glomus tumor. Outcomes: The pain that was reported prior to the surgery has improved postoperatively, and the recovery has been uneventful without any other complication. Conclusion: This paper provides a comprehensive examination of a rare glomus tumor in the second toe, elucidating both diagnostic intricacies and treatment modalities. It emphasizes the dual necessity of achieving total tumor excision while also considering aesthetic outcomes. The insights presented herein are intended to serve as valuable guidance for clinicians confronted with similar clinical scenarios, underlining the delicate interplay between effective tumor management and the preservation of cosmetic integrity.

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Section: Discussionmentioning

confidence: 99%

Nail-preserving excision of glomus tumor in the second toe: Case report and literature review

Park,

Han,

Seo

2024

Medicine

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“…10,36 Some authors have used microscopic magnification and Mohs micrographic surgery to ensure complete removal. 41,47 Two surgical approaches have been commonly used for the excision of subungual glomus tumors: the transungual approach and the lateral subperiosteal approach. The transungual approach facilitates good visualization and complete excision of the tumor.…”

Section: Discussionmentioning

confidence: 99%

“…10,36 Some authors have used microscopic magnification and Mohs micrographic surgery to ensure complete removal. 41,47…”

Section: Discussionmentioning

confidence: 99%

Outcomes Following Excision of Toe Glomus Tumors

Joyson D. R.,

Sasi P.,

Prabhu

et al. 2024

Foot Ankle Int.

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Background: Glomus tumors are uncommon tumors and their occurrence in the foot is even less common. Glomus tumors of the toes are often missed, causing delays in diagnosis and treatment. We report an ambispective observational study of glomus tumors of the toes that were treated at our institution. Methods: We reviewed the records of all the patients who underwent excision of toe glomus tumors in our department from January 2010 to September 2022. The follow-up data were collected from the outpatient records and by telephonic interview. Single Assessment Numeric Evaluation (SANE) score, Foot and Ankle Outcome Score (FAOS), and the Foot Function Index (FFI) were collected. Results: Out of all the patients treated for glomus tumors, we found that 7 patients had glomus tumors of the toes. Of the 7 patients, 6 were women and 1 was a male. The mean follow-up of our patients was 66.4 months (range, 7-109 months). Of the 7 patients, 1 presented with recurrent glomus tumor 30 months following the primary operation, for which she underwent excision again, after which she was symptom free. Another patient who developed recurrent symptoms on telephonic interview refused any further treatment. Among the 6 patients who were symptom-free at follow-up (including the patient who underwent excision for the recurrent tumor), the median SANE score, and FFI were 99.5 (IQR, 96-100) and 0.5 (IQR, 0-2) respectively. The mean FAOS was 96 (SD, 3.3). Conclusion: Surgical excision of the subungual toe glomus tumors can be curative. Recurrence of toe glomus tumors was noted in 2 patients (29%), one of whom refused further surgery. Re-excision in the other patient resulted in complete resolution of symptoms. Level of Evidence: Level III, ambispective observational study.

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“…The differential diagnosis of painful subcutaneous tumors includes vascular leiomyoma, schwannoma, subungual osteochondroma (exostosis), and hemangioma. Cases of glomus tumor occurring in the toes are rare, with only 9 reports to date [3][4][5][6][7][8][9][10][11] (Table I). Of the 19 cases reported, 13 were located in the hallux, 3 in the second toe, and 1 each in the third toe and the fourth toe.…”

Section: Discussionmentioning

confidence: 99%

“…The glomus tumor has been less commonly reported in the foot. Only a few cases have been reported previously [3][4][5][6][7][8][9][10][11] , with most occurring in the hallux 3,4,[7][8][9] . To the best of our knowledge, there has been no report of this tumor occurring simultaneously in 2 toes.…”

mentioning

confidence: 99%

Simultaneous Glomus Tumors of the Third and Fourth Toes

Kimura

Kubota

Hattori

et al. 2022

JBJS Case Connector

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Case: A glomus tumor of the toes is rare, and as far as we know, there has been no report of simultaneous occurrence in 2 toes. A 45-year-old woman presented with forefoot pain. Based on imaging findings, glomus tumors of the third and fourth toes were suspected. Tumor resection was performed, and pathological examination confirmed the diagnosis of glomus tumors. Conclusion: In this case, it was difficult to recognize the tumors because they occurred simultaneously in 2 toes. Even for sites where a glomus tumor is rare, it is important to understand the characteristic symptoms through a detailed interview and examination.

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Glomus tumour of the fourth toe: case discussion and review of literature

Abstract: This is a case report with literature review and discussion of current diagnostic studies and management of a rare case of glomus tumour in the fourth toe of a 36-year-old male patient.

Cited by 5 publications

References 20 publications

Nail-preserving excision of glomus tumor in the second toe: Case report and literature review

Nail-preserving excision of glomus tumor in the second toe: Case report and literature review

Outcomes Following Excision of Toe Glomus Tumors

Simultaneous Glomus Tumors of the Third and Fourth Toes

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