Unusual location of a glomangioma: a case report

Diagnosis of some of the skin tumors might be difficult as they have no typical clinical appearance. However, subjective complaints such as the painful character of the lesion could be a guide in the differential diagnosis. The extreme pin point pain is a characteristic of glomus tumor and alongside this extreme pain it can be easily diagnosed. Glomangioma is a highly vascularised variant of glomus tumor and is a rare, slow growing benign tumor of dermis or subcutaneous tissue. The most common site of occurrence is in the hands, especially in the distal phalanx and extra digital localization of glomus tumor is rare. Hence, it cannot be easily diagnosed in atypical localizations, thus sometimes causing misdiagnosis. Differential diagnosis is critical for proper interventions in atypical localization. Here, we report a 64 years old male patient suffering from localized pain in the leg for 22 years without diagnosis. Even ultrasonographic evaluation was very painful, it revealed a subc...

Case Reports in Vascular Medicine, 2013

Objective. To report on a very rare case of a glomus tumor manifested on the upper arm in a healthy young male patient.Case Presentation and Intervention. A 22-year-old male patient presented with bluish multifocal venous malformation on the left upper arm and was admitted for venous malformation excision. Pain, discomfort, and upper arm paraesthesia had been present for almost 6 years. Ultrasonography revealed septet tumor without blood flow in the subcutaneous region of anterior aspect of the upper arm. A multifocal venous malformation approximately 5–10 mm in diameter was excised. Histological examination showed dilated vascular area with proliferated glomus cells with round nucleus in the wall of dilated vascular structures. Based on histological examination, the final diagnosis was made as “glomangioma.”Conclusion. Histological examination is the only method that can establish final diagnosis. Currently, the only available treatment for this type of tumor is surgical excision.

Background. Glomus tumors are rare mesenchymal tumors originating from glomus bodies in the skin. Glomus tumors of the kidney are rare tumors and only a few cases have been reported in the medical literature. An extensive search revealed a very limited number of primary renal glomus tumors. Although most of these cases were benign in nature, including a case with uncertain diagnosis of malignant potential, two were malignant. Case Report. We present a unique case of a 57-year-old male patient with an incidentally discovered 2 cm left renal mass. Histopathology examination and immunohistochemical studies confirm the diagnosis of glomangioma (a form of glomus tumor). The patient was followed for one year after partial nephrectomy and showed a benign course without any evidence of local recurrence or metastasis. Conclusion. To the best of our knowledge, this is the 16th case of primary benign renal glomus tumors. Primary renal glomus tumors are rare and may mimic other mesenchymal renal neoplasms radiologically. Proper investigation (including histopathological analysis and immunohistochemical staining) of kidney tumors is essential to make the diagnosis of glomus tumors, which usually show a benign clinical course following resection.

Case Reports in Orthopedics

Glomus tumors are rare benign tumors which commonly affect the hand but are seldom seen extradigitally. Less commonly seen is the glomangioma, a variant of benign glomus tumor, and even rarer is the glomangiosarcoma, a malignant variant. Determining malignancy can be difficult and an intermediate diagnosis, glomus tumor of uncertain malignant potential, has been proposed. We present a case of a 56-year-old male with a recurrent forearm mass diagnosed as a glomangioma of uncertain malignant potential. Although the characteristics and behavior of malignant cases are still incompletely understood, it is important that a high index of suspicion be maintained when approaching these tumors, especially when large or recurrent. Glomangiomas should be included in the differential diagnosis when evaluating soft tissue masses in the forearm and should be evaluated for malignant features.

Case reports in pathology, 2017

Glomus tumors are rare mesenchymal tumors originating from glomus bodies in the skin. Glomus tumors of the kidney are rare tumors and only a few cases have been reported in the medical literature. An extensive search revealed a very limited number of primary renal glomus tumors. Although most of these cases were benign in nature, including a case with uncertain diagnosis of malignant potential, two were malignant. We present a unique case of a 57-year-old male patient with an incidentally discovered 2 cm left renal mass. Histopathology examination and immunohistochemical studies confirm the diagnosis of glomangioma (a form of glomus tumor). The patient was followed for one year after partial nephrectomy and showed a benign course without any evidence of local recurrence or metastasis. To the best of our knowledge, this is the 16th case of primary benign renal glomus tumors. Primary renal glomus tumors are rare and may mimic other mesenchymal renal neoplasms radiologically. Proper in...

Hand and Microsurgery, 2016

Aim: Glomus tumors are typically located in the subungual region in 75%-90% of patients. However, these tumors can be seen in atypical localizations which are extra-digital parts of the human body. Here, we present the management of a series of five patients with extra-digital glomus tumors treated surgically. Patients and methods: The mean age of the patients was 40.6 years. The mean duration between symptom onset and presentation was 3.6 years. The localization of the tumors were anterolaterally of the thigh, posteriorly of the humerus lateral condyle, posteriorly of the humerus supracondylar region, anteromedially of the tuberositas tibia, and on the dorsal side of the wrist. Results: The mean follow-up was at 52.8 months. For all patients, all lesions healed without any wound issues and no recurrences were noted during the follow-up period. Conclusion: When a painful mass is found in the body, glomus tumors should be kept in mind. The consideration of symptoms, including pain, temperature sensitivity, point tenderness, and discoloration, common characteristics of glomus tumors, may aid diagnosis.

2014

Glomus tumors are relatively rare vascular tumors with reported incidence of 1.6% of all soft tissue tumors. It is variously regarded as a hamartoma or a neoplasm of neuromyoarterial glomus, which consists of dilated vascular channels, surrounded by proliferating glomus, nerve cells, and plays an important role in temperature regulation. We report the case of glomangioma in a 31-year-old male who came to surgical OPD with a painful single swelling in the right middle third of forearm of nineteen years duration. on examination a single round swelling of about 3x2 cms in size on the flexor aspect of the right middle third of forearm. The swelling was soft in consistency and tender with sign of compressiblity. the ultrasound revealed well defined highly vascular soft tissue lesion in the subcutaneous plane of the right posterior forearm arterio venous malformation to be considered. The excision biopsy was done and histo pathological examination revealed well circumscribed lesion compos...

JBR-BTR : organe de la Société royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)

Glomus tumours are uncommon benign neoplasms characterised by the proliferation of modified smooth muscle cells known as glomus cells. Glomus tumours are well described in the extremities, particularly in the sub-ungual region and MRI is well established as the investigation of choice. However, a significant proportion of glomus tumours are extra-digital, but the discussion of MRI findings of extra-digital tumours is limited and restricted to case reports. We present a case of a solitary painful forearm lesion in an 81-year-old man, and review the English literature on extra-digital glomus tumours documenting MR imaging features. Radiologists should be aware of the existence of these lesions, particularly in the setting of chronic pain and focal tenderness.

2011

Glomus tumours (GT), neoplasms of the glomus body comprise 4.5% of upper limb tumours. Seventy-five per cent of these occur in the hand, and most are subungual (50%). We performed a literature review and retrospective search of histopathologically confirmed GT seen from 1995 to 2009. Fifteen patients were identified, with an average age of 49.6 years. Eight were in the hand, 2 in the upper limb, 2 lower limb and 3 in the ear. Eighty-six per cent presented with pain and 50% underwent radiological investigation. Most diagnoses followed biopsy findings. Surgical excision resulted in a recurrence rate of 13%. The average time to diagnosis was 3.3 years. The average duration of symptoms was 7 to 11 years with an average of 2 to 3 consultations prediagnosis. MRI remains the most useful imaging modality (82 to 90% sensitivity). Excision biopsy is the most common treatment. Greater awareness is needed for quicker diagnosis.

SKINmed, 2002

Background. Glomus tumor is a benign neoplasm of uncommon occurrence in daily practice, more frequently observed as a single painful lesion, at the distal phalanges of the fingers. Multiple presentation is very rare, with fewer than 200 reports, usually presenting as small angiomatous lesions with discrete pain.