Unsuspected Glomus Tumor on the Right Wrist: Case Report

  • Wendel Santos Furtado General Surgery Division from Armed Forces Hospital (HFA), Brasilia-DF, Brazil.
  • Cacilda Joyce Ferreira Silva Garcia Pathology Division of Armed Forces Hospital, Brasília-DF, Brazil.
  • Vitorino Modesto dos Santos Department of Internal Medicine, Armed Forces Hospital and Catholic University of Brasília, Brasília-DF, Brazil.
  • Marcos Emanuel Alcântara Segura Pathology Division of Armed Forces Hospital, Brasília-DF, Brazil.
  • Ricardo Monte Serrate Silva General Surgery Division from Armed Forces Hospital (HFA), Brasilia-DF, Brazil.
  • Guilherne Dantas Roriz General Surgery Division from Armed Forces Hospital (HFA), Brasilia-DF, Brazil.
Keywords: Glomus tumor, Vascular neoplasm, Wrist

Abstract

Glomus tumor is not a rare vascular entity, which is often subungual or found in the reticular dermis of the extremities. Glomus tumors are most frequently benign and solitary. Affected patients classically complain of extremely painful episodes. Symptoms occur spontaneously or elicited by local compression and cold environment, in special if the tumor has an acral location. A 50-year-old woman was referred to our hospital due to chronic atypical episodes of wrist pain. A deep-seated subcutaneous nodule was detected in her right wrist, and a surgical biopsy was performed. Histopathology study revealed a benign glomus tumor with a solid pattern. Misdiagnoses involving glomus tumors with atypical symptoms or tumors developing in unusual sites are emphasized.

Author Biography

Guilherne Dantas Roriz, General Surgery Division from Armed Forces Hospital (HFA), Brasilia-DF, Brazil.
Medical Doctor of General Surgery Division from Armed Forces Hospital

References

Buendia GPP, Uribe WAJ, Faciolli D, Rodriguez JMF, Gervais J. Glomus tumor: an easy or a difficult diagnosis? Rev Bras Cir Plast 2010; 25(3):439-442.

De Chiara A, Apice G, Mori S, Silvestro G, Losito SN, Botti G, Ninfo V. Malignant glomus tumour: a case report and review of the literature. Sarcoma 2003; 7(2):87-91. PMID: 18521375

Kang G, Park HJ, Kim JY, Choi D, Min BH, Lee JH, Kim KM, Park CK, Sohn TS, Kim S. Glomus tumor of the stomach: a clinicopathologic analysis of 10 cases and review of the literature. Gut Liver 2012; 6(1):72-77. PMID: 22375171

Kim YD, Son JS, Lee JW, Han YJ, Choi H, Jeong YJ. Extradigit glomus tumor causing abdominal pain - a case report. Korean J Pain 2012; 25(2):108-111. PMID: 22514779

Vanti AA, Cucé LC, Di Chiacchio N. Subungual glomus tumor: epidemiological and retrospective study from 1991 to 2003. An Bras Dermatol 2007; 82(5):425-431.

Kiyosawa T, Umebayashi Y, Nakayama Y, Soeda S. Hereditary multiple glomus tumors involving the glans penis. A case report and review of the literature. Dermatol Surg 1995; 21(10):895-899. PMID: 7551748

Shang Y, Huang Y, Bai C, Dong YC, Zhao LJ, Li Q. Removal of glomus tumor in the lower tracheal segment with a flexible bronchoscope: report of two cases. Intern Med 2010; 49(9):865-869. PMID: 20453410

Uchiyama M, Kato T, Kunitani K, Kuwabara K. Multiple glomus tumors in chest wall and buttocks. Kyobu Geka 2011; 64(2):116-119. PMID: 21387615

Chim H, Lahiri A, Chew WY. Atypical glomus tumor of the wrist: a case report. Hand Surg 2009;14(2-3):121-123. PMID: 20135739

Horn MS, Pierson DL. A glomus tumor mimicking a peripheral neuropathy. J Dermatol Surg Oncol 1980; 6(11):931-933. PMID: 6257768

Joseph FR, Posner MA. Glomus tumors of the wrist. J Hand Surg Am 1983;8(6):918-920. PMID: 6315810

Koibuchi H, Fujii Y, Taniguchi N. An unusual case of a glomus tumor developing in a subcutaneous vein of the wrist. J Clin Ultrasound 2008; 36(6):369-370. PMID: 18446863

Peretz E, Grunwald MH, Avinoach H, Halevy S. Solitary glomus tumor. Australas J Dermatol 1999; 40(4):226-227. PMID: 10570564

dos Santos VM, de Vasconcelos RA, de Paula FH, Alves Tubino PV, Turra TZ, Gagliardi Castilho I. Coexistence of prostate cancer, gynecomastia, renal failure, melanonychia, and wrist lump. Arch Iran Med 2009; 12(5):503-506. PMID: 19722776

Published
2019-01-22
How to Cite
1.
Furtado W, Joyce Ferreira Silva Garcia C, Modesto dos Santos V, Segura ME, Silva R, Roriz G. Unsuspected Glomus Tumor on the Right Wrist: Case Report. Acta Med Iran. 56(12):807-810.
Section
Case Report(s)