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Accessory Structures of the Skin: Nails01:05

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Multiple glomus tumours in multidigit nail bed.

Jun-Ku Lee1, Tae-Sup Kim2, Dong-Won Kim2

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Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
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Summary
This summary is machine-generated.

This case report details a rare instance of multiple painful glomus tumors affecting multiple fingertips on both hands. The findings suggest multidigit subungual glomus tumors may represent a distinct clinical entity from solitary glomus tumors.

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Area of Science:

  • Oncology
  • Dermatology
  • Pathology

Background:

  • Glomus tumors are benign neoplasms originating from the glomus body.
  • Solitary glomus tumors are common, painful, and often subungual.
  • Multiple glomus tumors are rare and typically lack specific localization.

Observation:

  • A 34-year-old male presented with chronic, severe pain in multiple fingertips of both hands.
  • Magnetic resonance imaging (MRI) revealed multiple subungual glomus tumors.
  • Surgical resection and histological examination confirmed the diagnosis.

Findings:

  • The patient exhibited symptoms characteristic of solitary glomus tumors, including pain, localized tenderness, and cold hypersensitivity.
  • Despite being multiple, the tumors were subungual and affected multiple digits.
  • Histological confirmation was achieved post-resection.

Implications:

  • This case highlights a rare presentation of multiple glomus tumors with solitary tumor characteristics.
  • The findings suggest that multidigit subungual glomus tumors might be a distinct entity.
  • Further research is warranted to differentiate these presentations clinically and genetically.