Subungual glomus tumor

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Significant pain with minor trauma. Hypersensitivity to cold. Radiographs unavailable.

Patient Data

Gender: Female
ultrasound

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.

Case Discussion

In view of clinical background, a hypoechoic hypervascular lesion in the nail bed is likely to be a glomus tumor.

This was shown on histopathology to be a glomus tumor.

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