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Primary intraosseous glomus tumor: a case report.

J Settakorn1, P Chalidapong, S Rangdaeng

  • 1Department of Pathology, Faculty of Medicine, Chiang Mai University, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|February 21, 2002
PubMed
Summary

This case report details a rare intraosseous glomus tumor found in a finger bone. Surgical removal successfully treated the tumor and relieved pain, with no recurrence observed.

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Area of Science:

  • Orthopedic Surgery
  • Oncology
  • Radiology

Background:

  • Primary intraosseous glomus tumors are exceedingly rare bone neoplasms.
  • Glomus tumors typically arise in the soft tissues of the extremities, particularly the subungual region.

Observation:

  • A 53-year-old woman presented with a lytic lesion in the distal phalanx of her left index finger.
  • Radiography revealed a well-defined, osteolytic lesion lacking a sclerotic rim.
  • Histopathology confirmed the presence of a glomus tumor characterized by nests of polygonal cells and vascular proliferation.

Findings:

  • The intraosseous glomus tumor was completely removed via curettage.
  • Post-operative pain was entirely alleviated.
  • An 18-month follow-up showed no signs of tumor recurrence.

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Implications:

  • Intraosseous glomus tumors, though rare, should be considered in the differential diagnosis of solitary, well-circumscribed osteolytic bone lesions.
  • These lesions are particularly relevant when located in the phalanges and exhibit characteristic radiographic features.
  • Early diagnosis and surgical intervention can lead to favorable outcomes and complete pain resolution.