Milla-Bello CE, Orozco-Bustos MD, Nagore-Ancona JF

Language: Spanish
References: 12
Page: 48-51
PDF size: 190.05 Kb.

ABSTRACT

Glomus tumors are rare benign neoplasms. They constitute 1-5% of tumors of the hand, predominantly in females 3:1. We present the case of a 46-year-old woman with a painful subungual right thumb tumor of eight years of evolution. The doctors who treated her initially, suspected a melanoma; so, she underwent a biopsy, with negative results for malignancy. Afterwards, she was sent to the dermatology department, when she was assessed they diagnosed a glomus tumor, so she was sent to the plastic surgery service for treatment. They performed an ultrasound; the image found was compatible with the diagnosis. The tumor was resected; the pathology study confirmed the diagnosis. The evolution at one year was satisfactory, without recurrence of the tumor and with a good aesthetic appearance of the finger. The imaging test used for detection is ultrasonography; however, magnetic resonance imaging has proven to be more useful to specify the location and type of tumor. A bad diagnosis leads to inadequate treatments, risking one’s health. It requires a high diagnostic suspicion to be identified and treated properly.

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