Glomus tumor

Case contributed by Dr Ammar Haouimi

Presentation

Painful swelling of the distal 4th digit of the left hand.

Patient Data

Age: 50 years
Gender: Male
X-ray

Left hand

The frontal radiograph and enlarged image show a subtle soft tissue density with scalloping of the lateral aspect of the distal phalanx of the left 4th finger.

MRI

Left hand

A well-circumscribed nodule is noted at the lateral aspect of the distal phalanx of the 4th finger. It shows a low signal on T1WI, high signal on T2 fat sat with intense and relatively homogeneous enhancement on postcontrast sequences. The scalloping of the adjacent cortical bone is also well-visualized on both axial and coronal sequences.

Case Discussion

The location and the MRI features are most consistent of a glomus tumor,  also known as glomangioma.

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Case information

rID: 69064
Published: 27th Jun 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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