Glomus tumour (subungual)
Significant pain with minor trauma. Hypersensitivity to cold. Radiographs unavailable.
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There is a well-defined hypoechoic lesion (2.7 x 2.0 mm) in the nail bed. It is on the ulnar side.
Hypervascularity is noted in the lesion.
No erosion of the distal phalangeal cortex is noted.
Nail plate unit is normal.
In view of clinical background, a hypoechoic hypervascular lesion in the nail bed is likely to be a glomus tumour.
This was shown on histopathology to be a glomus tumor.
- 1. Wortsman X, Wortsman J, Soto R et-al. Benign tumors and pseudotumors of the nail: a novel application of sonography. J Ultrasound Med. 2010;29 (5): 803-16. Pubmed citation