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[Multiple glomus tumors in chest wall and buttocks].

Mika Uchiyama1, Taketo Kato, Kohei Kunitani

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Summary

This case study details a rare instance of multiple glomus tumors in a 50-year-old man, affecting the chest wall and buttocks. Surgical resection successfully relieved his decade-long chest pain.

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Area of Science:

  • Oncology
  • Pathology
  • Radiology

Background:

  • Glomus tumors are rare neoplasms typically found in the extremities.
  • Multiple glomus tumors, particularly in unusual locations like the chest wall and buttocks, are exceptionally uncommon.

Observation:

  • A 50-year-old male presented with a 10-year history of progressively worsening lancinating right chest pain.
  • Computed tomography (CT) revealed a contrast-enhancing mass in the right 3rd intercostal space and another in the right buttock.
  • Surgical resection of both tumors, including the 4th rib, was performed.

Findings:

  • Histological examination confirmed the diagnosis of glomus tumors, characterized by vascular spaces lined with glomus cells.
  • Postoperative recovery was uneventful, with complete resolution of chest pain.
  • Chest wall glomus tumors exceeding 2 cm and located deeply may warrant consideration for malignancy.

Implications:

  • This case highlights the importance of considering rare diagnoses for persistent pain syndromes.
  • The successful surgical management of chest wall glomus tumors offers a potential curative option.
  • Further research into the characteristics and management of deep-seated and multiple glomus tumors is warranted.