Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness

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 tum...

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Main Authors: Sang Ki Lee, Dae Geon Song, Won Sik Choy
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/619490
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author Sang Ki Lee
Dae Geon Song
Won Sik Choy
author_facet Sang Ki Lee
Dae Geon Song
Won Sik Choy
author_sort Sang Ki Lee
collection DOAJ
description 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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spelling doaj-art-76f2d8c64c934fc4b3122d634310081a2025-02-03T01:21:58ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/619490619490Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal TendernessSang Ki Lee0Dae Geon Song1Won Sik Choy2Department of Orthopedic Surgery, College of Medicine, Eulji University, 1306 Dunsan-dong, Seo-gu, Daejeon 302-799, Republic of KoreaDepartment of Orthopedic Surgery, College of Medicine, Eulji University, 1306 Dunsan-dong, Seo-gu, Daejeon 302-799, Republic of KoreaDepartment of Orthopedic Surgery, College of Medicine, Eulji University, 1306 Dunsan-dong, Seo-gu, Daejeon 302-799, Republic of KoreaIntroduction. 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.http://dx.doi.org/10.1155/2014/619490
spellingShingle Sang Ki Lee
Dae Geon Song
Won Sik Choy
Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
Case Reports in Orthopedics
title Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
title_full Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
title_fullStr Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
title_full_unstemmed Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
title_short Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness
title_sort intravascular glomus tumor of the forearm causing chronic pain and focal tenderness
url http://dx.doi.org/10.1155/2014/619490
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AT wonsikchoy intravascularglomustumoroftheforearmcausingchronicpainandfocaltenderness