Glomus tumor (glomangioma)

Case contributed by Dr Matt Skalski

Presentation

Finger pain and swelling.

Patient Data

Age: 20s
Gender: Male
MRI

A homogeneously high STIR signal T1 isointense signal lesion is present within the dorsoradial aspect of the distal 3rd digit. This lesion enhances strongly and homogeneously. 

Case Discussion

Typical features of a glomus tumor (glomangioma). The most important differential consideration is an epidermal inclusion cyst, but that would not be expected to enhance as this does, and is usually more anterior when in the distal finger. Very unlikely considerations would include synovial sarcoma and other extremity associated tumors since the lesion enhances so avidly.

Case courtesy of Dr. George Matcuk. 

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Case information

rID: 37973
Published: 28th Jun 2015
Last edited: 5th May 2019
Inclusion in quiz mode: Included

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