Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 7-8, Pages: 443-445
https://doi.org/10.2298/SARH1608443S
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Glomus tumor - a case report
Stošić Momčilo (General Hospital, Department of Surgery, Vranje)
Stojanović Igor (General Hospital, Department of Surgery, Vranje)
Lalić Marija (General Hospital, Department of Surgery, Vranje)
Introduction. Glomus tumor is a neuromyoarterial tumor. It is a rare tumor
which accounts for about 2% of all hand tumors. The diagnosis is based on the
triad of symptoms, clinical examination which includes three tests, magnetic
resonance imaging, and ultrasound imaging. The most common treatment is
surgical excision, using transungual or lateral subperiosteal approach.
Sclerotherapy and radiotherapy may be the treatments of choice, but they are
less effective. The recurrence rate is high - from 5% to 50%. Case Outline.
We diagnosed a glomus tumor of 1 cm in diameter in the distal phalanx of the
fourth finger of the right hand in a 30-year-old woman. She had been visiting
different physicians for more than two years and had been variously
diagnosed. We performed a biopsy of the tumor, which was bleeding profusely
during the procedure. Upon biopsy results, the tumor was excised with
transungual approach. Two and a half months after the procedure the patient
was feeling well. Conclusion. There should be higher awareness of this tumor
in order to diagnose it more easily and treat it accordingly, and thus
alleviate the severe pain which the tumor causes. When it is considered as
the possible cause of the lesion, the diagnosing is easier and treatment is
immediate.
Keywords: glomus tumor, excision, transungual, soft-tissue