Subungual glomus tumor: surgical and histopathologic evaluation

Area of Science:

• Vascular Tumors
• Dermatopathology
• Surgical Oncology

Background:

• Glomus tumors are rare, benign neoplasms originating from neuromyoarterial glomus bodies.
• Typically found on the extremities, particularly the nail bed, they often present as solitary lesions.
• Classic symptoms include pain, tenderness, and temperature sensitivity, forming a diagnostic triad.

Observation:

• Subungual glomus tumors can be challenging to diagnose due to small lesion size and subtle skin changes.
• Patients may seek treatment for pain from various specialists, leading to diagnostic delays.
• This case highlights a patient with a subungual glomus tumor requiring surgical intervention.

Findings:

• Surgical excision is the definitive treatment for glomus tumors.
• Histopathologic examination post-excision confirms the diagnosis.
• The described case involved successful surgical removal of a subungual glomus tumor.

Implications:

• Prompt surgical intervention leads to rapid symptom improvement.
• Increased awareness among clinicians can reduce diagnostic delays for glomus tumors.
• Accurate diagnosis and treatment are crucial for managing this rare vascular tumor.