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Czyżewski W, Litak J, Pasierb B, Piątek P, Turek M, Banach L, Turek G, Torres K, Staśkiewicz G. Diagnostic and Therapeutic Insights into Spinal Glomangioma of a Unique Intradural, Extramedullary Presentation-Systematic Review. Diseases 2024; 12:132. [PMID: 38920564 PMCID: PMC11203330 DOI: 10.3390/diseases12060132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Revised: 06/13/2024] [Accepted: 06/17/2024] [Indexed: 06/27/2024] Open
Abstract
Contemporary literature lacks examples of intradural, extramedullary spinal glomangiomas. Moreover, glomus tumors in general are exceedingly rare among benign spinal tumors and are mostly located within epidural space or within intervertebral foramen, and only a few cases have been documented to date. This report provides a detailed analysis of the clinical presentation, imaging characteristics, surgical intervention, and pathological findings of a 45-year-old patient experiencing progressive locomotor deterioration. The tumor was surgically excised, and subsequent histological examination identified it as a representative of glomus tumors-a glomangioma. Notably, this represents a unique case as it was the first example of such a tumor being discovered intradurally. Radical surgical excision remains the modality of choice in most benign spinal tumors of this localization. Although the malignant transformation of glomus tumors within the spine has not been documented thus far, cases have arisen in other areas. Consequently, we will investigate potential oncological treatments for cases with malignant potential and highlight advancements in surgical techniques for benign intradural spinal tumors.
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Affiliation(s)
- Wojciech Czyżewski
- Department of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, ul. W.K. 7 Roentgena 5, 02-781 Warsaw, Poland
- Department of Didactics and Medical Simulation, Medical University of Lublin, 20-954 Lublin, Poland
| | - Jakub Litak
- Department of Clinical Immunology, Medical University of Lublin, 20-954 Lublin, Poland;
| | - Barbara Pasierb
- Department of Dermatology, Radom Specialist Hospital, Lekarska 4, 26-600 Radom, Poland;
| | - Paula Piątek
- Department of Neurosurgery, Medical College of Rzeszow University, 35-959 Rzeszow, Poland;
| | - Michał Turek
- Department of Neurosurgery, Postgraduate Medical Centre, Brodnowski Masovian Hospital, 8 Kondratowicza Str., 03-242 Warsaw, Poland; (M.T.); (G.T.)
| | - Lech Banach
- Alfamed Pathomorphology Department, 22-400 Zamosc, Poland;
| | - Grzegorz Turek
- Department of Neurosurgery, Postgraduate Medical Centre, Brodnowski Masovian Hospital, 8 Kondratowicza Str., 03-242 Warsaw, Poland; (M.T.); (G.T.)
| | - Kamil Torres
- Department of Plastic, Reconstructive Surgery with Microsurgery, Medical University of Lublin, 20-954 Lublin, Poland;
| | - Grzegorz Staśkiewicz
- Department of Human, Clinical and Radiological Anatomy, Medical University, 20-954 Lublin, Poland;
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Pertea M, Grosu OM, Filip A, Moraru DC, Luca S, Fotea MC, Lunca S, Olinici D, Poroch V, Carp C, Veliceasa B. Rare Benign Tumors and Tumor-like Lesions of the Hand without Skin Damage-Clinical, Imagistic and Histopathological Diagnosis, Retrospective Study. Diagnostics (Basel) 2023; 13:diagnostics13061204. [PMID: 36980511 PMCID: PMC10046979 DOI: 10.3390/diagnostics13061204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 03/17/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND The broad spectrum of diagnoses and clinical features of hand tumors and the absence of pathognomonic signs often lead to an inaccurate or delayed diagnosis. However, only a few reports have comprehensively referenced the diagnosis and clinical features of hand tumors. This study intends to highlight the clinical, imaging and histological characteristics of uncommon hand tumors or tumor-like lesions. METHODS In this retrospective study, we report a series of 80 patients diagnosed with rare hand tumors and tumor-like lesions without skin damage. Age, gender, tumor location, imaging examinations and clinical and laboratory findings were analyzed. The histopathological exam established the final diagnosis. Surgery was indicated and performed in all cases. RESULTS This study included: neurofibroma, glomus tumor, lipoma, schwannoma, epidermal inclusion cyst and idiopathic tenosynovitis with "rice bodies." We have described the clinical, imagistic and histopathological particularities of these tumors. Surgical management included the complete removal of tumors, with no recurrence recorded within two years and overall high patient satisfaction. The most common findings were lipomas and the rarest neurofibromas. CONCLUSIONS To optimize the care of hand tumors and reduce diagnostic and treatment errors, knowledge of hand tumor types and their clinical and laboratory characteristics is necessary for every surgeon.
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Affiliation(s)
- Mihaela Pertea
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Plastic Surgery and Reconstructive Microsurgery, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Oxana Madalina Grosu
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Plastic Surgery and Reconstructive Microsurgery, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Alexandru Filip
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Orthopaedics and Traumatology, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Dan Cristian Moraru
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Plastic Surgery and Reconstructive Microsurgery, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Stefana Luca
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Plastic Surgery and Reconstructive Microsurgery, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Madalina-Cristina Fotea
- Department of Plastic Surgery and Reconstructive Microsurgery, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Sorinel Lunca
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Second Surgical Clinic, Regional Institute of Oncology, 700483 Iasi, Romania
| | - Doinita Olinici
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Dermatology, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Vladimir Poroch
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Palliative Care, Regional Institute of Oncology, 700483 Iasi, Romania
| | - Claudiu Carp
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Orthopaedics and Traumatology, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
| | - Bogdan Veliceasa
- Department Plastic Surgery and Reconstructive, Faculty of Medicine,"Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania
- Department of Orthopaedics and Traumatology, "Sf. Spiridon" Emergency County Hospital, 700111 Iasi, Romania
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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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Kwiecien GJ, Meaike J, Inwards CY, Rhee PC. Posttraumatic Glomus Tumor of the Digital Nerve with Atypical Presentation: A Case Report. JBJS Case Connect 2022; 12:01709767-202209000-00003. [PMID: 35809023 DOI: 10.2106/jbjs.cc.22.00166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
CASE A 53-year-old man sustained an injury to his left index finger and underwent presumably traumatic neuroma excision from the radial digital nerve 2 years ago. He presented with a painful mass distal to the prior site of neuroma excision with distinctly different symptoms from those that led to his index surgery. Thus, he underwent excisional biopsy of the mass which was adherent to his radial digital nerve consistent with a benign glomus tumor on histologic examination. CONCLUSION Digital nerve glomus tumors are rare. In most of the cases, some portion of the digital nerve requires excision but decreased pain can be expected.
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Affiliation(s)
| | - Jesse Meaike
- Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota
| | - Carrie Y Inwards
- Division of Anatomic Pathology, Mayo Clinic, Rochester, Minnesota
| | - Peter C Rhee
- Division of Hand Surgery, Mayo Clinic, Rochester, Minnesota
- Clinical Investigation Facility, Travis Air Force Base, California
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