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Glomus tumour with intravascular spread

M Michal1

  • 1Sikl Department of Pathology, Charles University Medical School, Pilsen, Czech Republic.

Ceskoslovenska Patologie
|December 1, 1993
PubMed
Summary
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A glomus tumor on the foot showed intravascular spread, a phenomenon also seen in intravascular leiomyomatosis. This spread in glomus tumors is not considered a sign of malignancy, with no recurrence noted four years post-excision.

Area of Science:

  • Vascular Tumors
  • Oncology
  • Dermatopathology

Background:

  • Glomus tumors are rare, benign neoplasms typically arising in the digits.
  • Intravascular spread is an uncommon finding in glomus tumors, with limited literature available.
  • Understanding the behavior of glomus tumors with intravascular spread is crucial for accurate diagnosis and prognosis.

Purpose of the Study:

  • To report a case of glomus tumor with intravascular spread on the foot.
  • To discuss the implications of intravascular spread in glomus tumors.
  • To evaluate the long-term outcome after surgical excision.

Main Methods:

  • Case presentation of a 48-year-old male patient.
  • Surgical excision of the glomus tumor.

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  • Clinical follow-up for recurrence and metastasis.

    • Main Results:

    • A glomus tumor on the dorsal right foot exhibited intravascular spread of tumor cells.
    • The patient remained disease-free with no recurrence or metastases four years after tumor excision.
    • The intravascular spread was comparable to that observed in intravascular leiomyomatosis.

    Conclusions:

    • Intravascular spread in glomus tumors, while uncommon, does not necessarily indicate malignancy.
    • Glomus tumors with intravascular spread can have a favorable prognosis following complete surgical removal.
    • This case highlights the importance of careful histopathological evaluation and long-term monitoring.