#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Glomus tumour of a finger


Authors: P. Dráč 1;  J. Ehrmann 2
Authors place of work: Traumatologické oddělení, FN Olomouc Primář: doc. MUDr. Igor Čižmář, PhD. 1;  Ústav klinické a molekulární patologie LF UP a FN Olomouc Přednosta: prof. MUDr. Zdeněk Kolář, CSc. 2
Published in the journal: Prakt. Lék. 2011; 91(9): 540-543
Category: Case Report

Summary

The glomus tumour is mostly a benign growth that most frequently occurs in the subungual area or within the pulp of the distal phalanx of the fingers. Its incidence is very rare. Glomus tumour is clinically characterized by

  • pain,
  • tenderness, and
  • cold sensitivity.


Despite this typical manifestation, the correct diagnosis is mostly determined after several months or years, and patient is often repeatedly examined by physicians of various specializations.

The glomus tumour can cause the blue discoloration of the nail or form a palpable nodule within the pulp. X-ray examination does not show the tumour directly but it can expose the bony defect in the distal phalanx. By contrast, MR Imaging can demonstrate well-bordered formation, thus helping to locate the tumour and select the appropriate surgical approach. MRI can also indentify the rare occurrence of multiple glomus tumours. Surgical extirpation of the tumour under local or general anaesthesia is the treatment of choice.

Key words:
glomus tumour, distal phalanx, MRI, surgical treatment.


Zdroje

1. Bhaskaranand, K., Navadgi, B.C. Glomus tumour of the hand. J. Hand. Surg. Br. 2002, 27(3), p. 229–231.

2. van Geertruyden, J., Lorea, P., Goldschmidt, D. et al. Glomus tumours of the hand. A retrospective study of 51 cases. J. Hand. Surg. Br. 1996, 21(2), p. 257-260.

3. Giele, H. Hildreth’s test is a reliable clinical sign for the diagnosis of glomus tumours. J. Hand. Surg. Br. 2002, 27(2), p. 157-158.

4. Hazani, R., Houle, J.M., Kasdan, M.L. et al. Glomus tumors of the hand. e-Plasty: Open Access Journal of Plastic Surgery, 2008 [online]. [cit. 2011-07-14]. Dostupný z WWW: http://www.eplasty. com/index.php?option=com_content&view=article&id=244&catid=145:volume-08-eplasty-2008&Itemid=121. ISSN 1937-5719.

5. Maňák, P. Novotvary ruky. Prakt. Lék. 2007, 87(10), s. 608-612.

6. Matloub, H.S., Muoneke, V.N., Prevel, C.D. et al. Glomus tumor paging: Use of MRI for localization of occult lesions. J. Hand. Surg. Am. 1992, 17(3), p. 472–475.

7. Nazerani S., Motamedi, M.H.K., Keramati, M.R. Diagnosis and management of glomus tumor sof the hand. Tech. Hand Up Extrem Surg. 2010, 14(1), p. 8-13.

8. Nobuyuki, H., Noriaki, K., Takahiro, T. et al. Malignant glomus tumor: A case report and review of the literature. Am. J. Surg. Pathol. 1997, 21(9), p. 1096-113.

9. Theumann, N.H., Goettmann, S., Le Viet, D. et al. Recurrent glomus tumors of fingertips: MR Imaging Evaluation. Radiology 2002, 223(1), p. 143-151.

10. Tuncali, D., Yilmaz, A.C., Terzioglu, A et al. Multiple occurence of different histologic types of the glomus tumor. J. Hand. Surg. Am. 2005, 30(1), p. 161-164.

Štítky
General practitioner for children and adolescents General practitioner for adults
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#