Presentation
Finger pain and swelling.
Patient Data
Age: 20s
Gender: Male
From the case:
Glomus tumor (glomangioma)
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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.