A RARE CASE REPORT OF GLOMUS TUMOUR OVER MARGIN OF LOWER LID OF LEFT EYE

Introduction: Glomus tumours are rare, benign tumours of vascular origin, arising from the glomus body. Glomus tumours are neoplasms of mesenchyme derived from glomus bodies. Glomus tumours present as a purple or pink vascular lesion that can be confused with a vascular neoplasm such as hemangioma. In this case we are reporting a rare presentation of glomus tumour over lower lid. A 10 year old female child presented with lesion over left lower Case Report: lid since 3 months which was painless and progressive. On examination a 0.3x0.3 cm subcutaneous pink non encapsulated mass is seen over medial canthus of left eye. Mass was excised and subjected to histopathological examination which confirmed the diagnosis of glomus cell tumour(glomangioma). Postoperative period was uneventful with no recurrence for last 6months. Conclusion: All excised eyelid lesions should undergo detailed Histopathological evaluation and glomus tumour should be considered as one of the differential diagnosis in patients presenting with eyelid mass

Management of a Case of Subungual Glomus Tumor by Periungual Surgical Excision: A Case Report

Glomus tumors of the subungual region are a group of benign hamartomas due to proliferation of glomus cells. The lesionpresents as a brownish purple lesion in the nail bed. Classical triad suggestive of the disease consists of severe pain, localtenderness, and sensitivity to cold. Diagnostic tests include Love’s pin test, Hildreth’s test, and transillumination test. Completesurgical excision by either the transungual or periungual approach usually provides symptomatic relief with little chance ofrecurrence. Periungual approach is associated with less complications.

Glomus tumour of finger tip: a case report.

Glomus tumour is usually benign tumour usually accounts for a small percentage of hand tumours. Sometimes diagnosis may be delayed for years which cause significant morbidity to the patient. I present here a case of a 40 year old female with one year history of pain in her right ring finger which was diagnosed as glomus tumour and was surgically removed and was histopathological result was consistent with glomus tumour.

Glomus tumour of the hands: A review of presentations and outcomes

Introduction: Glomus tumour is a rare benign neoplasm of the normal neuroarterial structure called glomus body. They present with obscure symptoms making diagnosis difficult and delayed. Though classical symptoms and signs such as pain, temperature sensitivity, and point tenderness are described, imaging such as magnetic resonance imaging is increasingly being used for diagnosis. The aim of this study was to review the current understanding of glomus tumours of the hand in the context of the cases treated in Brunei Darussalam emphasising the importance of detailed clinical examination over imaging modalities. Materials and Methods: We present a series of seven patients diagnosed as glomus tumour and operated in our hospital from Sept 1997 to Sept 2009. Data was collected from the clinical and operative records regarding preoperative history and workup, intraoperative details, postoperative follow up and histopathology. Results: There were three male and four female patients with a median age of 37 years. All patients had severe fingertip pain on touch with positive Love's test. One patient had hypersensitivity to cold. Presumptive diagnosis of glomus tumour was made in six patients and foreign body granuloma in one patient based on detailed history and clinical examination alone. Histopathology confirmed glomus tumour in all the patients. All are asymptomatic after surgery. One patient had increased mitotic activity on histopathological examination and is on close follow up. Conclusion: High suspicion, detailed history and careful physical examination can significantly decrease the pre-operative morbidity of the patient with glomus tumour. An imaging study may not always be required for diagnosis.

Glomus Tumour: A Retrospective Review of 15 Years Experience in A Single Institution

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.