Recurrent Glomus Tumour of Great Toe, a rare site
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Glomus tumor is a benign tumour arising from the neuromyoarterial plexus concentrated beneath the nail and arises from digital Glomus body. It is more common in females, however extra digital tumours are common in males. It is common in elderly, but can occur in young individuals. Exact aetiology is not known. Common sites within the nail unit are the nail bed, subungual region, nail root and laterally. A 60 year old woman presented with slow growing swelling on the dorsal aspect of great toe for 5years. It was 4X3 cm in size, lying over extensor hallucis longus tendon. It was hard in consistency, lobulated surface with a small cystic area where a discharging puncture wound was present and the discharge was scanty and serosanguinous. The swelling was moving freely side to side with restricted vertical mobility and not moving when tendon was made taught. Skin over the swelling was slightly bluish black in colour. Mild tenderness was present over the swelling. Our provisional diagnosis was calcified ganglion or gouty nodule. The tumour was excised under spinal anaesthesia and specimen sent for histopathological examination (HPE) and it was reported as glomus tumour. We wish to report this case because of its rare site of presentation. On intense search of the literature, no case was found to be reported from great toe that too the tumour lying on extensor hallucis longus tendon. We made a wrong diagnosis because of its rare site.
Authors and Affiliations
Dr. Swamynadh P, Dr. Akshay Singh, Dr. Avinash, Dr. Shekar Y. Tati, Dr. Mridula S
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