Painful Forearm Mass in a 75-year-old Man

Schoenleber, Scott J.; Rosenberg, Andrew E.; Temple, H. Thomas

doi:10.1007/s11999-013-3409-5

Cited by 7 publications

(9 citation statements)

References 18 publications

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“…Most of the cases reported in the literature exhibit Doppler findings similar to those detected in our series, although only a minority of imaging articles illustrate the color Doppler findings, 2,[4][5][6][7][8]18,20,23,25,28,[33][34][35] and only three of them 18,25,35 included the spectral Doppler findings. EDGTs are usually vascularized, although to a variable degree, and are not necessarily hypervascular.…”

Section: Discussionsupporting

confidence: 66%

“…Most of the published articles we found on the EDGT are single case reports . Additionally, only a minority of these articles include a description of the sonography findings . The three largest series published that included a description of the sonography findings collected 3, 4, and 9 18 cases of EDGT, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]7,[10][11][12][13][14][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Additionally, only a minority of these articles include a description of the sonography findings. 2,4,12,13,20,[22][23][24][25]27,29,30,33,34 The three largest series published that included a description of the sonography findings collected 3, 6 4, 35 and 9 18 cases of EDGT, respectively. Glazebrook et al 23 reported the sonography findings in a patients with 4 EDGTs of the leg, 2 subcutaneous and 2 intramuscular, ranging in size from 7 to 52 mm.…”

Section: Discussionmentioning

confidence: 99%

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Color Doppler Sonography of Extradigital Glomus Tumors

et al. 2016

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We retrospectively collected cases of surgically proven extradigital glomus tumor (EDGT) and reviewed their demographic, clinical, and sonography features. A total of 18 single, subcutaneous EDGTs were gathered. All but one were located in the extremities. EDGTs typically appear as a small, hypoechoic, homogeneous, or slightly inhomogeneous, well-delimited nodule, disposed horizontally and painful under probe pressure. Intranodular vascularization is always present. Feeding artery and efferent vein are typical but inconstant findings.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Color Doppler Sonography of Extradigital Glomus Tumors

et al. 2016

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“…In such patients, MRI may be helpful. For glomus tumors, T1-weighted sequences show intermediate or low signal intensity, similar in degree to muscle; T2-weighted sequences show high signal intensity; and contrast-enhanced images shows high signal intensity [4]. In our patient, no specific findings were observed on conventional radiographs; the boundary with surrounding tissues was found to be clear on ultrasound; the proliferation of blood vessels was observed as a hypoechoic mass located inside the subcutaneous fat layer; and increased blood flow was visualized by Doppler sonography.…”

Section: Discussionmentioning

confidence: 99%

“…The size of a glomus tumor is about 5mm, and most are less than 10mm, so it is very difficult to diagnose one that occurs in a site other than the hands [3]. In addition, patients are often misdiagnosed with, for example, hemangioma, neuroma, neurofibromatosis, or lymphadenitis and receive treatment for these, leading to a delay in the correct diagnosis [4]. The treatment is complete surgical resection, which is known to be effective.…”

Section: Introductionmentioning

confidence: 99%

The value of diagnostic ultrasonography in the assessment of a glomus tumor of the subcutaneous layer of the forearm mimicking a hemangioma: a case report

et al. 2015

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IntroductionA glomus tumor is a rare, benign tumor with atypical clinical symptoms. Because of its small size, it is difficult to diagnose and treat early; therefore, it leads to poor quality of life. Glomus tumors are known to commonly affect the hand and rarely manifest in other areas. Because they simulate neuromas, hemangiomas, and neurofibromatosis, the differential diagnosis is difficult. We performed marginal resection of a solitary forearm mass previously suspected to be a hemangioma or glomus tumor on the basis of ultrasound findings and histologically diagnosed to be a glomus tumor afterward. We report this case to demonstrate the good prognosis of the procedure we used, and we review the relevant literature.Case presentationA 68-year-old Asian man without a particular medical history visited our hospital with a mass with focal tenderness in his left distal forearm that had developed 8 years earlier. The tumor was observed with suspicion of being a hemangioma or glomus tumor based on the location, clinical symptoms, and ultrasound findings taken into consideration together. The biopsy results led us to conclude that the lesion was a glomus tumor.ConclusionsA glomus tumor located in the forearm is very rare. It is often clinically overlooked and is likely to be misdiagnosed as another disease. The patient’s quality of life deteriorates, and, though the disease is rare, it has serious sequelae. Therefore, a quick diagnosis and appropriate treatment must be conducted early. If a mass occurs with serious pain in subcutaneous soft tissue of not the hands but the limbs, it is important to conduct examinations with suspicion of a glomus tumor. Ultrasonography performed quickly may be useful for making the differential diagnosis.

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Atypically localized glomus tumor causing anterior interosseous nerve syndrome: A case report

Akman¹,

Yalçınkaya

Arıkan³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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This article presents a 48-year-old male patient who presented with pain in the left forearm and weakness and clumsiness in the left hand of 6 months' duration. Flexor motor strength loss of the thumb and the index finger was present and neurophysiologic tests showed findings compatible with axonal injury in the anterior interosseous nerve (AIN) innervated muscles. Magnetic resonance imaging revealed a space-occupying lesion in the proximal forearm resembling a glomus tumor. Excision of the mass and release of the AIN were performed. Histopathology confirmed a glomus tumor, and the patient remains asymptomatic at 1 year postoperatively. We stress the importance of imaging studies in patients when a suspected secondary nature of nerve entrapment is present.

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Painful Forearm Mass in a 75-year-old Man

Abstract: A 75-year-old right-hand-dominant man presented with a 3-year history of a painful left forearm mass. The pain was nonradiating and throbbing in nature, present at night, and the mass was exquisitely tender to palpation. The mass did not change in size throughout the day or with exercise.

Cited by 7 publications

References 18 publications

Color Doppler Sonography of Extradigital Glomus Tumors

Color Doppler Sonography of Extradigital Glomus Tumors

The value of diagnostic ultrasonography in the assessment of a glomus tumor of the subcutaneous layer of the forearm mimicking a hemangioma: a case report

Atypically localized glomus tumor causing anterior interosseous nerve syndrome: A case report

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