Subungal glomus tumor

Case contributed by Maulik S Patel

Presentation

Right 4th digit - nail bed region - localized pain with cold sensitivity - 10 years.

Patient Data

Age: 60 years
Gender: Male
ultrasound

There is a well-defined hypoechoic lesion in the nail bed on the ulnar side. It measures 4 x 2 mm. It shows hypervascularity. There is erosion of cortex. There is no distal interphalangeal joint effusion.

Photo

A nodule is noted at nail bed. It was excised.

Case Discussion

In clinical background, the above ultrasound findings suggest a glomus tumor.

MRI was done later - showed similar findings. (not uploaded, no copyright ).

There was a nail bed tumor as seen in intraoperative photographs provided by operating surgeon Dr. Ritesh Patel.

Histopathology (verbal communication with operating surgeon )  - Glomus tumor.

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