Subungual glomus tumor

Case contributed by Maulik S Patel
Diagnosis certain


Localized pain with cold sensitivity in the nailbed region of the right 4th digit for 10 years.

Patient Data

Age: 60 years
Gender: Male

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.


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

Case Discussion

In this clinical context, the above ultrasound findings suggested a glomus tumor. MRI was done later and showed similar findings. (not available).

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

Histopathology (verbal communication with the operating surgeon) confirmed a glomus tumor.

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