Paravertebral glomus tumors

Axmann, C.; Feiden, W.; Moeller, Verena; Reith, Wolfgang

doi:10.1007/s00256-004-0868-5

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…A solid glomus tumor is the most common variant (75%), followed by glomangioma (20%) and glomangiomyoma (5%) [16]. In our series, 2 of 13 cases were deemed to be glomangiomas; the other 11 were solid glomus tumors [17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 93%

Extradural Glomus Tumor of the Thoracic Spine: Case Report and Literature Review

Zheng

2021

Preprint

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Background: Glomus tumors are rare lesions that can arise anywhere along the spinal axis. Only thirteen cases have been reported. We report a case of a patient with a rare glomangioma of the thoracic spine. Following a review of the twelve previous cases is a discussion of a spinal glomus tumor with regard to clinical presentation, diagnosis, and treatment. Methods: A single, recent case arising from the extradural space of the thoracic spine is described, followed by a literature review of spinal glomus tumors.Results: Including our case, thirteen cases of a glomus tumor have been reported. The mean age at the time of diagnosis was 44.6 years (range: 22–73 years) and the male-to-female (M:F) ratio was 1.17:1. The lesion was located in the cervical spine in 1 patient, the thoracic spine in 7 patients, the lumbar spine in 4 patients, and the sacrum in 1 patient. All the tumors were benign; however, there was one report of local recurrence because of incomplete removal. There were no malignant transformations, metastases, or deaths reported with a mean follow-up of 20.09 ± 28.43 months (range: 2–90 months).Conclusions: Spinal glomus tumor are rare, and the preoperative diagnosis is difficult. An overwhelming majority of glomus tumors are benign and are cured by simple local excision. Patients undergoing complete resection have an excellent long-term prognosis.Trial registration: Not applicable.

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Section: Discussionmentioning

confidence: 93%

Extradural Glomus Tumor of the Thoracic Spine: Case Report and Literature Review

Zheng

2021

Preprint

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“…3,6 GTs may be difficult to diagnose in deep sites and are easily confused with neurilemmomas or paragangliomas based on imaging findings. 1,7 We reviewed the English-language literature of GTs with spine involvement (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of GTs is reportedly <2% among all soft tissue tumors. 1 The incidence peaks in the third through fifth decades of life. 2 GTs with spine involvement are extremely rare and can cause neurological symptoms when the spinal cord or nerve roots are compromised.…”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive resection of a glomus tumor of the thoracic spine: a case report and literature review

et al. 2019

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Objective Spinal involvement of glomus tumors is extremely rare. We herein present a case of a spinal glomus tumor and reviewed the literature to identify the most effective surgical treatment of spinal glomus tumors. Methods A 48-year-old man presented with a huge paravertebral space-occupying lesion. In this report, we present the diagnostic process and surgical procedure in this case and review the literature of glomus tumors with spine involvement. Results We suspected a primary diagnosis of neurilemmoma based on the imaging results; however, the postoperative pathologic examination confirmed a glomus tumor. Considering the size of the tumor and involvement of surrounding areas, we performed complete tumor resection and unilateral fusion with pedicle screws at the T2 to T4 level. This unilateral approach with fixation was less invasive than the standard open posterior approaches that are used when one side of the spinal canal is intact without bony destruction. Conclusions Surgical resection is a suitable treatment for most symptomatic glomus tumors. For most glomus tumors with spine involvement, total tumor resection with suitable internal fixation and fusion is recommended.

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“…When the index of suspicion for a glomus tumor is low, the physician constructs and investigates a list of differential diagnoses that is based on the anatomic site, rather than the nature of the complaint. Upper extremity pain is investigated and treated for radiculopathy [14], shoulder pain for impingement [14], knee pain for meniscal disorders [18], and back pain for spinal cord disorders [3,15,31]. Once all these investigations fail, a ''functional'' or psychiatric basis is considered [1,4,7,19,36].…”

Section: Discussion and Treatmentmentioning

confidence: 99%

Thigh Pain of 5 Years’ Duration in a 48-year-old Man

Sraj

Khoury

Afeiche

et al. 2008

Clin Orthop Relat Res

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A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months' duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms.The patient presented to our clinic 5 years after his pain first developed. Physical examination of the knee was normal. There was no instability, no joint line tenderness, no crepitation, and full range of motion. He had considerable atrophy and weakness of the quadriceps muscle. Physical examination of the hip and the spine were normal. There was an area of exquisite pinpoint tenderness medially above the joint line, overlying the adductor canal (Fig.

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Paravertebral glomus tumors

Cited by 9 publications

References 11 publications

Extradural Glomus Tumor of the Thoracic Spine: Case Report and Literature Review

Extradural Glomus Tumor of the Thoracic Spine: Case Report and Literature Review

Minimally invasive resection of a glomus tumor of the thoracic spine: a case report and literature review

Thigh Pain of 5 Years’ Duration in a 48-year-old Man

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