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Turrini A, Staffa G, Rossi G, Capone C. Post-traumatic glomus tumor of the left anterior supraclavicular nerve: a case report. Neurol Res 2023; 45:435-439. [PMID: 36683154 DOI: 10.1080/01616412.2022.2151163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVES Peripheral nerve glomus tumors are extremely rare and occur with typical symptoms of peripheral neuropathic pain. Clinicians hardly consider this entity when faced with the swelling of a peripheral nerve and the diagnosis is reached only with histological examination. Nerves of limbs are usually affected and the solid glomus tumor is the most frequent histological variant. CASE DESCRIPTION A 55-year-old man presented with a glomus tumor of the anterior supraclavicular nerve of the left cervical plexus, misdiagnosed clinically and radiologically as neuroma. Despite the preoperative suspicion and the intraoperative appearance, the histological examination revealed a glomus tumor with a prevalent muscular component, a glomangiomyoma. Once the tumor was removed, pain regressed completely. CONCLUSIONS Because of its rarity, pre-operative diagnosis of glomus tumors is still a challenge, especially when arising from peripheral nerves. In the presence of chronic localized neuroma-type pain and sensitivity, glomus tumors should be considered in the pool of differential diagnosis, even if the imaging is not conclusive.
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Affiliation(s)
| | - Guido Staffa
- Department of Peripheral Nerve Surgery, Ospedale Civile degli Infermi - Faenza, Ravenna, Italy
| | - Giulio Rossi
- Department of Pathology, Ospedale Civile degli Infermi - Faenza, Ravenna, Italy
| | - Crescenzo Capone
- Department of Peripheral Nerve Surgery, Ospedale Civile degli Infermi - Faenza, Ravenna, Italy
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2
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Drabent P, Bielle F, Bernat I, Peyre M. Epineural glomus tumor of the posterior interosseous nerve: Case report. J Clin Neurosci 2020; 74:232-234. [PMID: 31917057 DOI: 10.1016/j.jocn.2019.12.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 12/30/2019] [Indexed: 11/19/2022]
Abstract
Among peripheral nerve sheath tumors, epineural glomus tumors represent a rare differential diagnosis for peripheral nerve schwannoma, displaying the same appearance on MRI. Here we present the case of a 68-year-old man complaining of pain in the left forearm, with paresthesias in the first three fingers. MRI demonstrated a round mass along the course of the posterior interosseous nerve with homogeneous contrast enhancement. Complete surgical removal successfully relieved the symptoms. Pathological analysis led to the diagnosis of glomus tumor of uncertain malignant potential. This is to our knowledge the first reported case of epineural glomus tumor of the radial nerve.
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Affiliation(s)
- Philippe Drabent
- Sorbonne Universités - Department of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France
| | - Franck Bielle
- Sorbonne Universités - Department of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France
| | - Isabelle Bernat
- Sorbonne Universités - Department of Electrophysiology, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France
| | - Matthieu Peyre
- Sorbonne Universités - Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France; Neurofibromatosis Type 2 and Schwannomatosis Referral Center, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France.
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3
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Muthiah S, Hussain R, Stefanos N, Husain A. An incidental finding of an asymptomatic intraneural glomus tumor: A case report and review of the literature. J Cutan Pathol 2018; 45:269-273. [DOI: 10.1111/cup.13097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 11/22/2017] [Accepted: 12/06/2017] [Indexed: 12/22/2022]
Affiliation(s)
- Siobhan Muthiah
- Department of Dermatology; Royal Victoria Infirmary; Newcastle upon Tyne UK
| | - Rima Hussain
- Department of Pathology; Royal Victoria Infirmary; Newcastle upon Tyne UK
| | - Niki Stefanos
- Department of Pathology; Royal Victoria Infirmary; Newcastle upon Tyne UK
| | - Akhtar Husain
- Department of Pathology; Royal Victoria Infirmary; Newcastle upon Tyne UK
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4
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Nwankwo BO, Henshaw RM, Kumar D. Glomus Tumor of the Sciatic Nerve: An Extraspinal Cause of Sciatica. Orthopedics 2018; 41:e151-e153. [PMID: 28934536 DOI: 10.3928/01477447-20170918-07] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Accepted: 08/02/2017] [Indexed: 02/03/2023]
Abstract
Glomus tumors are small, benign tumors that arise from glomus bodies, structures found normally within the dermis that assist in temperature regulation via their vasoconstrictive response to sympathetic stimuli. Glomus tumors are found typically in the hand and are classically a cause of focal pain and temperature sensitivity. They often present as a small blue lesion seen under the nail bed of a finger or a toe and cause point tenderness. Glomus tumors of peripheral nerves are exceedingly rare and can lead to disability akin to compressive neuropathy when present. This case report explores the unusual presentation of a rare and large glomus tumor of the sciatic nerve. The patient presented with symptoms such as those mentioned above and was assumed to have sciatica emanating from spinal and neuroforaminal stenosis. Although she repeatedly and appropriately sought medical attention for her condition, she was improperly diagnosed and ultimately experienced a significant deterioration of her function, eventually undergoing an unnecessary surgical procedure. On referral to the authors' institution, the patient was evaluated and found to have a glomus tumor involving the sciatic nerve. This is the largest glomus tumor of a peripheral nerve that has been reported to date. Although the patient's presentation was insidious and her diagnosis was uncommon, this underscores the importance of developing a differential diagnosis based primarily on a thorough physical examination and, only then, correlating imaging to clinical findings. Additionally, given the atypical presentation and intractable course of this patient's condition, the examiner must consider neoplastic entities and space-occupying lesions as part of the differential diagnosis. [Orthopedics. 2018; 41(1):e151-e153.].
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5
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Glomangiomatosis of the sciatic nerve: a case report and review of the literature. Skeletal Radiol 2017; 46:807-815. [PMID: 28303299 DOI: 10.1007/s00256-017-2594-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 01/19/2017] [Accepted: 02/07/2017] [Indexed: 02/02/2023]
Abstract
Glomus tumors are hamartomas, which tend to occur in sites rich in glomus bodies, such as the subungual regions of digits or the deep dermis of the palm, wrist, forearm, and foot. Very rarely, they may involve peripheral nerves. We describe a patient, who, following surgical resection of a solitary glomus tumor of the left distal sciatic nerve in his teens, had recurrence with development of multiple tumors in the course of the nerve over several years. To our knowledge, this is the only known case of glomangiomatosis involving a major peripheral nerve.
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6
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Catalano O, Alfageme Roldän F, Solivetti FM, Scotto di Santolo M, Bouer M, Wortsman X. Color Doppler Sonography of Extradigital Glomus Tumors. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:231-238. [PMID: 27914173 DOI: 10.7863/ultra.16.03023] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 04/12/2016] [Indexed: 06/06/2023]
Abstract
We retrospectively collected cases of surgically proven extradigital glomus tumor (EDGT) and reviewed their demographic, clinical, and sonography features. A total of 18 single, subcutaneous EDGTs were gathered. All but one were located in the extremities. EDGTs typically appear as a small, hypoechoic, homogeneous, or slightly inhomogeneous, well-delimited nodule, disposed horizontally and painful under probe pressure. Intranodular vascularization is always present. Feeding artery and efferent vein are typical but inconstant findings.
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Affiliation(s)
- Orlando Catalano
- Department of Radiology, National Cancer Institute, Pascale Foundation, Naples, Italy
| | | | | | | | | | - Ximena Wortsman
- Departments of Radiology and Dermatology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues Clinica Servet, University of Chile, Santiago, Chile
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7
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Al-Qattan MM, Al-Namla A, Al-Thunayan A, Al-Subhi F, El-Shayeb AF. Magnetic Resonance Imaging in the Diagnosis of Glomus Tumours of the Hand. ACTA ACUST UNITED AC 2016; 30:535-40. [PMID: 16085343 DOI: 10.1016/j.jhsb.2005.06.009] [Citation(s) in RCA: 84] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2005] [Indexed: 01/20/2023]
Abstract
This paper studies the sensitivity, specificity and predictive values of MRI in the diagnosis of glomus tumours of the hand and investigates the final diagnosis and outcome in cases with false positive or negative imaging tests. A total of 42 cases with the clinical diagnosis of a glomus tumour were included in the study. All patients underwent MRI and the results of MRI were correlated with the final histological diagnosis of the excised lesion. MRI had a sensitivity of 90%, a specificity of 50%, a positive predictive value of 97% and a negative predictive value of 20%. The four cases in which the MRI was negative all proved histologically to be glomus tumours. All four tumours were small (2–3 mm in diameter) and the lack of delineation of the lesions by MRI was attributed to their small size. Despite negative MRIs, surgical exploration identified the glomus tumours. Based on the results of the current study and the cost of MRI, the senior author has stopped ordering pre-operative MRIs in patients clinically diagnosed with a glomus tumour.
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Affiliation(s)
- M M Al-Qattan
- Division of Plastic Surgery, King Saud University, King Fahad National Guard Hospital Riyadh, Saudi Arabia.
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8
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Affiliation(s)
- Giuseppe Donato
- School of Medicine Magna Graecia, University of Catanzaro, Catanzaro, Italy.
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9
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Muneer M, Alkhafaji A, El-Menyar A, Al-Hetmi T, Al-Basti H, Al-Thani H. Intravascular extra-digital glomus tumor of the forearm. J Surg Case Rep 2016; 2016:rjw124. [PMID: 27421300 PMCID: PMC4946538 DOI: 10.1093/jscr/rjw124] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Intravascular glomus tumor in the forearm is very rare and usually presents with persistent pain and focal tenderness. The diagnosis of this condition can be easily missed or delayed. There is no successful treatment so far other than surgical excision in most of cases. We presented a 45-year-old female presented with intravascular glomus tumor in her left forearm. The swelling was excised and the post-operative course was uneventful. Intravascular glomus tumor of the forearm is extremely rare and the persistent pain and tenderness are very suspicious. Diagnostic imaging may not be indicated in every case.
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Affiliation(s)
- Mohammed Muneer
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
| | - Ali Alkhafaji
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
| | - Ayman El-Menyar
- Clinical Research, Trauma Surgery, Hamad General Hospital, Doha, Qatar Clinical Medicine, Weill Cornell Medical College, Doha, Qatar
| | - Talal Al-Hetmi
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
| | - Habib Al-Basti
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
| | - Hassan Al-Thani
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
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10
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Intravascular glomus tumor of the forearm causing chronic pain and focal tenderness. Case Rep Orthop 2014; 2014:619490. [PMID: 24624306 PMCID: PMC3929381 DOI: 10.1155/2014/619490] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Accepted: 12/22/2013] [Indexed: 11/18/2022] Open
Abstract
Introduction. A glomus tumor is a benign vascular tumor derived from glomus cells and occurs mainly in the subcutaneous layer of the subungual or digital pulp. Extradigital glomus tumors have been reported within the palm, wrist, forearm, foot, bone, stomach, colon, cervix, and mesentery. Glomus tumors can originate from the intraosseous, intramuscular, periosteal, intravascular, and intraneural layers. However, a glomus tumor originating from the intravascular layer of the forearm is a rare condition. Case Report. A 44-year-old woman had a 7-year history of chronic pain and focal tenderness of the forearm. No hypersensitivity or sensory alterations were observed. Contrast magnetic resonance imaging (MRI) showed a mass measuring 5 × 3 × 2 mm leading to a vein. Surgical excision was performed, and the tumor was completely resected. Finding of gross examination revealed a dark-red, well-defined soft tissue tumor, and histologic examination confirmed that the mass was a glomus tumor. The patient's symptoms were completely resolved postoperatively. Conclusion. Intravascular glomus tumors rarely occur in the forearm; therefore, a thorough physical exam, comprehensive medical history, in-depth imaging, and early surgical excision upon clinical suspicion may be helpful to prevent a delayed or incorrect diagnosis.
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11
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Park DS, Choe WJ, Chun YI, Moon CT. Glomus tumor in the femoral nerve. J Korean Neurosurg Soc 2013; 54:540-3. [PMID: 24527203 PMCID: PMC3921288 DOI: 10.3340/jkns.2013.54.6.540] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2013] [Revised: 12/02/2013] [Accepted: 12/13/2013] [Indexed: 11/27/2022] Open
Abstract
The glomus tumor of the peripheral nerve is one of the mesenchymal tumors originating in the epineurium, and is extremely rare. A 56-year-old man presented complaining of lancinating pain on the left thigh, which was provoked by pressure or exercise. Subsequent image study revealed a mass in the femoral nerve. Total surgical excision with the aid of intraoperative ultrasonography was performed and the pain was successfully controlled. The authors report an unusual case of a patient diagnosed with glomus tumor in peripheral nerve, with a review of the clinical features, imaging, and pathological findings.
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Affiliation(s)
- Dong Sun Park
- Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea
| | - Woo Jin Choe
- Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea
| | - Young Il Chun
- Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea
| | - Chang-Taek Moon
- Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea
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12
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Mitchell A, Spinner RJ, Ribeiro A, Mafra M, Mouzinho MM, Scheithauer BW. Glomus tumor of digital nerve: case report. J Hand Surg Am 2012; 37:1180-3. [PMID: 22507392 DOI: 10.1016/j.jhsa.2012.02.035] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2010] [Revised: 02/13/2012] [Accepted: 02/23/2012] [Indexed: 02/02/2023]
Abstract
Glomus tumors consist of modified perivascular, smooth muscle involved in thermoregulatory activity of digital blood flow. Digits, especially in the subungual region, are often affected. These tumors only rarely arise in peripheral nerves; digital nerve involvement is exceptional. We describe a glomus tumor occurring in the digital nerve at the level of the distal phalanx.
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Affiliation(s)
- Andrew Mitchell
- Department of Pathology, Mayo Clinic, Rochester, MN 55905, USA
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13
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Frikh R, Alioua Z, Harket A, Ghfir M, Sedrati O. Tumeurs glomiques : étude anatomoclinique de 14 cas avec revue de littérature. ANN CHIR PLAST ESTH 2009; 54:51-6. [DOI: 10.1016/j.anplas.2008.05.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2008] [Accepted: 05/15/2008] [Indexed: 11/29/2022]
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14
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Scheithauer BW, Rodriguez FJ, Spinner RJ, Dyck PJ, Salem A, Edelman FL, Amrami KK, Fu YS. Glomus tumor and glomangioma of the nerve. Report of two cases. J Neurosurg 2008; 108:348-56. [PMID: 18240933 DOI: 10.3171/jns/2008/108/2/0348] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
As a rule, normal human nerve does not contain glomus bodies. Nonetheless, rare examples of glomus tumors do arise in peripheral nerves of various sizes. Their pathobiological characteristics are poorly understood, but reported examples have been small and clinically benign. The authors identified in 1 patient each a glomus tumor and a glomangioma involving nerve. Clinical histories as well as imaging and surgical findings were reviewed. All available H & E-stained slides were examined in both cases. Immunohistochemical stains and electron microscopy, as appropriate, were also performed. The lesions were subtotally and completely resected, respectively. An uneventful postoperative recovery was noted in both patients. Glomus tumors and glomangiomas can involve major nerves on rare occasions. They seem to follow a favorable clinical course, and conservative resection can be of benefit.
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Affiliation(s)
- Bernd W Scheithauer
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA.
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15
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Vanti AA, Cucé LC, Di Chiacchio N. Tumor glômico subungueal: estudo epidemiológico e retrospectivo, no período de 1991 a 2003. An Bras Dermatol 2007. [DOI: 10.1590/s0365-05962007000500005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
FUNDAMENTOS: O tumor glômico subungueal é neoplasia benigna de células glômicas. É mais freqüentemente observado como lesão solitária na falange distal dos quirodáctilos, representando de um a 4,5% das neoplasias das mãos. OBJETIVO: Avaliar os aspectos epidemiológicos e clínicos, os exames complementares, bem como prognóstico e tratamento com base em exames histopatológicos e métodos de imagem. MÉTODO: Foram estudados 20 casos de tumor glômico subungueal ocorridos no período de 1991 a 2003, nos ambulatórios de Dermatologia do Hospital das Clínicas e do Hospital do Servidor Público Municipal de São Paulo. RESULTADOS: Os achados epidemiológicos deste estudo não diferiram significativamente do levantamento bibliográfico pesquisado. Confirmaram-se, na casuística analisada, preferência pelos quirodáctilos e maior acometimento em pacientes do sexo feminino. Histologicamente, os dados obtidos foram similares aos existentes na literatura. CONCLUSÕES: Os métodos de imagem não foram utilizados de maneira sistemática como auxiliares diagnósticos do tumor glômico, embora sejam de grande importância na confirmação e delimitação do tumor, especialmente a ressonância magnética de alta definição. As recidivas, consideradas raras, ocorreram em 15% dos casos, enfatizando a necessidade de acompanhamento pós-cirúrgico prolongado.
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Affiliation(s)
| | | | - Nilton Di Chiacchio
- Universidade de Santo Amaro, Brasil; Hospital do Servidor Público Municipal de São Paulo, Brasil
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16
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Spinner RJ, Scheithauer BW, Amrami KK. Medial plantar nerve compression by a tibial artery schwannoma. J Neurosurg 2007; 106:921-3. [PMID: 17542542 DOI: 10.3171/jns.2007.106.5.921] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
✓ The authors describe the case of a patient with a novel cause of medial plantar symptoms due to extrinsic compression by a schwannoma arising within the adventitia of the tibial artery in the ankle region. Additionally they provide the operative, histological, and imaging findings.
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Affiliation(s)
- Robert J Spinner
- Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
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17
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Le Bellec Y, Yelles F, Kapandji T, Silbermann-Hoffman O. Tumeur glomique de l'avant-bras : à propos d'un cas. ACTA ACUST UNITED AC 2005; 24:99-102. [PMID: 15861979 DOI: 10.1016/j.main.2005.01.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The authors report a case of a glomus tumor of the soft-tissues of the forearm in a 23 year old woman. The diagnosis was suspected on MRI, and confirmed by a biopsy. The result after surgical resection was excellent, just like other cases in the literature.
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Affiliation(s)
- Y Le Bellec
- Clinique de l'Yvette, centre SOS main, 43, route de Corbeil, 91160 Longjumeau, France.
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18
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D'Acri AM, Ramos-e-Silva M, Basílio-de-Oliveira C, Cerqueira A, Monteiro D, Pretti G, Longo C, Monteiro E. Multiple glomus tumors: recognition and diagnosis. Skinmed 2002; 1:94-8. [PMID: 14673334 DOI: 10.1111/j.1540-9740.2002.01628.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
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. OBJECTIVES The study's objective was to analyze the epidemiologic, clinical, therapeutic, and histopathologic aspects in a series of six cases of multiple glomus tumors. RESULTS All patients were men, between 12-45 years of age. The tumor was congenital or appeared between 3-25 years of age. The clinical picture oscillated between three to 10 lesions, as macules, nodules, or tumors, with colors varying from bluish, brown-bluish, violet, to normochromic. The lesions were detected in the trunk and one or more members, not affecting the head, hands, and feet. Pain was discrete or absent. Incisional biopsy for histopathologic evaluation with the hematoxylin-eosin staining confirmed the diagnosis of glomus tumor in all cases. It showed the characteristic glomus cells and vascular spaces. The complete excision of the tumorous plaque was performed in one patient and a complex corrective procedure is still to be performed for one aberrant tumor in another case. The other patients received advice about their disease and were asked to periodically return. CONCLUSION Because this is a very uncommon illness, the present series allowed the demonstration of the wide variety of epidemiologic and clinical aspects described in the literature, with the presentation of elements that may improve its recognition and diagnosis.
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Affiliation(s)
- Antonio Macedo D'Acri
- The Universidade Federal do Rio de Janeiro (UFRJ), Praça Saens Pena 45/1101, 20520-090 Rio de Janeiro, Brazil.
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Affiliation(s)
- M Waseem
- Wrightington Hospital, Lancashire, Wigan, UK.
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20
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Abou Jaoude JF, Roula Farah A, Sargi Z, Khairallah S, Fakih C. Glomus tumors: report on eleven cases and a review of the literature. CHIRURGIE DE LA MAIN 2000; 19:243-52. [PMID: 11079182 DOI: 10.1016/s1297-3203(00)73487-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
INTRODUCTION Glomus tumor is a well known pathology in hand surgery; in addition to sites in the upper limbs, it can also affect the lower limbs and develop in other parts of the body. MATERIALS AND METHODS Seven females and four males with glomus tumors underwent surgery between 1990 and 1998 at our hospital. These cases were retrospectively studied, and immunohistochemical staining was carried out for vimentin, factor VIII and CD34. RESULTS At the time of diagnosis, the mean age of the patients was 49 years, with a mean follow-up of 18.5 months. Regarding tumor site, there were six digital, one wrist, two neck and two lower limb locations. In this series, familial incidence was observed in two cases, i.e., two sisters with tumor occurrence at the same digital site. Tumor size varied from 0.2 to 5 cm. In agreement with the findings in the literature, the present results showed only a low incidence of locations other than in the upper and lower limbs. Moreover, no multiple locations or degenerative malignancy were observed, both of which are known to be rare. In all cases, the histological aspect of these tumors was typically benign. Immunohistochemical studies of the tumor cells were positive for anti-vimentin antibody in all cases, negative for anti-factor VIII in all cases and irregularly positive for anti-CD34 antibody. DISCUSSION It was not possible to confirm the specificity of the anti-CD34 antibody for glomus tumor in this series. The hypothesis of the endothelial origin of glomus tumor can probably be dismissed in the absence of the expression of anti-factor VIII and anti-CD34 antibodies.
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Affiliation(s)
- J F Abou Jaoude
- Department of Orthopedic Surgery, Abou Jaoude Hospital, Jal el Dib, Lebanon.
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21
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Affiliation(s)
- S N Roberts
- Sportsmed SA and Dr Colin Laverty & Associates, Stepney, Australia
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22
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Muller A. [Extra-digital glomus tumor: a rare cause of neuralgia]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 1998; 16:61-3. [PMID: 9686099 DOI: 10.1016/s0750-7658(97)84281-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
We report three cases of extradigital glomus tumor mimicking neuralgia. The delay between the onset of symptoms and diagnosis ranged from 6 months to more than 10 years. None of the patients had spontaneous pain. Only palpation of a trigger-zone and movements elicited local pain and a sharp neuralgic pain (greater occipital nerve, medial antebrachial cutaneous nerve, obturator nerve). Albeit atypical, such pain features must suggest the diagnosis of glomus tumor, the confirmation of which is only obtained by histologic examination. Complete excision was fully effective in all three cases.
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Affiliation(s)
- A Muller
- Consultation de la douleur, Département d'anesthésiologie, Hôpitaux Universitaires de Strasbourg, France
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23
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Abstract
We report a case of an extradigital glomus tumour found in the forearm. A review of the literature suggests that extradigital glomus lesions in the upper limb may be more common than they are thought to be.
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Affiliation(s)
- T R Takei
- New England Baptist Hospital, Boston, USA
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Ogino T, Ohnishi N. Ultrasonography of a subungual glomus tumour. JOURNAL OF HAND SURGERY (EDINBURGH, SCOTLAND) 1993; 18:746-7. [PMID: 8308433 DOI: 10.1016/0266-7681(93)90235-8] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Glomus tumour is sometimes difficult to diagnose accurately before surgery. We report a case where ultrasonography confirmed the presence and precise location of a lesion before surgery.
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Affiliation(s)
- T Ogino
- Department of Physical Therapy, School of Health Science, Sapporo Medical College, Japan
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