GLOMUS TUMOR IN THE PULP OF FINGER – A RARE PRESENTATION AND DIAGNOSTIC PEARLS

Dr. M Srivignesh, Dr. N. Mariappan, Dr Sandhya Sundaram

Abstract


Summary: Glomus tumors are rare and occur typically in the subungual region of the digits of extremities.
They present with severe pain out of proportion to the size of the tumor and are associated with severe cold
intolerance. Possibility of glomus tumour must be considered in the differential diagnosis for evaluation of unexplained
nocturnal or rest hand pain. We present a unique case of 73-year-old male patient treated for rare presentation of the tumor at the
pulp of nger. We also discuss clinical, histopathological and immunohistochemistry diagnosis and management of glomus
tumors of Hand.


Keywords


Glomus Tumour, Glomangioma, Glomangiomatosis, Perivascular Neoplasm, Sub-ungual Glomangiomyoma, Sucquet-hoyer Canal.

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References


Kim DH. Glomus tumour of the fingertip and MRI appearance. Iowa Orthop J 1999;19:136-8.

Shin DK, Kim MS, Kim SW, et al. A painful glomus tumor on the pulp of the distal phalanx. J Korean Neurosurg Soc 2010;48:185-7.

Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor: analysis of 75 cases. Dermatol Surg 2010;36:1396-400.

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 21 : 257-260, 1996

Venkatachalam MA, Greally JG. Fine structure of glomus tumor: Similarity of glomus cells to smooth muscle. Cancer 1969;23:1176-84.

Takei TR, Nalebuff EA. Extradigital glomus tumour. J Hand Surg Br 1995;20:409-12.

Lee, DW.; Yang, JH.; Chang, S.; Won, CH.; Lee, MW.; Choi, JH.; Moon, KC. (Dec 2011). "Clinical and pathological characteristics of extradigital and digital glomus tumours: a retrospective comparative study.". J Eur Acad Dermatol Venereol 25 (12): 1392-7. doi:10.1111/j.1468-3083.2011.03979.x (http://dx.doi.org/10.1111%2Fj.1468-3083.2011.03 979.x). PMID 21371130 (http://www.ncbi.nlm.nih.gov/ pubmed /21371130).

Gombos Z, Zhang PJ. Glomus tumor. Arch Pathol Lab Med 2008; 132: 1448-52.

Rettig AC, Strickland JW.Glomus tumor of the digits. J Hand Surg Am 1977;2:261-5.

Rudolph R. Familial multiple glomangiomas. Ann Plast Surg. 1993;30:183–185.

Parsons ME, Russo G, Fucich L. Multiple glomus tumors. Int J Dermatol. 1997; 36:894–900.

Giele H (2002) Hildreth’s test is a reliable clinical sign for the diagnosis of glomus tu-mours. J Hand Surg Br 27(2):157–158.

Rodriguez JM, Idoate MA, Pardo-Mindan FJ. The role of mast cells in glomus tu-mours: report of a case of an intra- muscular glomus tumour with a prominent masto-cytic com- ponent. Histopathology 2003;42:307-8.

Gombos Z, Zhang PJ (September 2008). "Glomus tumor". Arch. Pathol. Lab. Med. 132 (9): 1448–52. doi:10.1043/1543-2165(2008)132[1448:GT]2.0.CO;2 (http://dx.doi.org/10.1043%2F1543-2165%282008%29132%5 B1448%3AGT%5D2.0.CO%3B2). PMID 18788860 (http://www.ncbi.nlm.nih.gov/pubmed/18788860).

Tuncali D, Yilmaz AC, Terzioglu A, Aslan G. Multiple occurrences of different histo-logic types of the glomus tumor. J Hand Surg 2005;30A:161–164.

Mentzel, T. , H. Kutzner , A. Rutten , and H. Hugel . CD34-positive glomus tumor: clinicopathologic and immunohistochemical analysis of six cases with myxoid stromal changes. J Cutan Pathol 2002. 29:421–425

Int J Surg Pathol 2015;23:181

Am J Surg Pathol 2002;26:301

Cancer 1969;23:1176

Vandenberghe L, De Smet L (2010) Subungual glomus tumours: a technical tip to-wards diagnosis on plain radiographs. Acta Orthop Belg 76(3):396–397

Hou SM, Shih TT, Lin MC (1993) Magnetic resonance imaging of an obscure glomus tumour in the fingertip. J Hand Surg Br 18(4):482–483.


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