Abstract
Glomus tumour (GT) is a rare, benign perivascular lesion which arises from the glomus body. GT is most common in the subungual area of fingers. The classical clinical features are pain, cold intolerance, and pinpoint tenderness which are nonspecific. A 48-year-old lady presented with an 8-year history of swelling in the subungual region of her left ring finger and chronic pain with severe exacerbations to touch and exposure to cold. A small, solitary, bluish purple swelling of 0.5 × 0.5 cm was present in the subungual region of the left ring finger with pinpoint tenderness. Magnetic resonance imaging and colour Doppler were suggestive of GT. The lesion was removed en bloc using the subungual approach. The biopsy confirmed the diagnosis of GT. There was a marked reduction in the level of pain and discomfort postoperatively. A subungual small GT can be a rare but treatable cause of chronic finger pain. Most ideal treatment is complete excision.
This is a preview of subscription content, log in via an institution to check access.
References
Stewart DR, Sloan JL, Yao L, Mannes AJ, Moshyedi A, Lee CC, Sciot R, De Smet L, Mautner VF, Legius E (2010) Diagnosis, management, and complications of glomus tumours of the digits in neurofibromatosis type 1. J Med Genet. 47(8):525–32. https://doi.org/10.1136/jmg.2009.073965
Kumar R (2022) The mysterious chronic finger pain- glomus tumour: a case report. Int Surg J 9(6):1262–1264. https://doi.org/10.18203/2349-2902.isj20221422
Santoshi JA, Kori VK, Khurana U (2019) Glomus tumor of the fingertips: a frequently missed diagnosis. J Family Med Prim Care 8(3):904–908. https://doi.org/10.4103/jfmpc.jfmpc_88_19
Sacchetti F, Gori MD, Grossi S, Bonadio GA, Capanna R (2019) An exceptional case of malignant glomus tumor and a review of the literature. Acta Orthop Traumato 53:313–317
Rosner IA, Argenta AE, Washington KM (2017) Unusual volar pulp location of glomus tumor. Plast Reconstr Surg Glob Open 5(1):1215. https://doi.org/10.1097/GOX.0000000000001215
Altinel D, Serin M, Leblebici C, Toplu G (2017) Transungual resection of subungual glomus tumour. BMJ Case Rep 2017:2017221211. https://doi.org/10.1136/bcr-2017-221211
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Reddy, V.S., Tewari, M. & Mishra, V.N. Uncommon Cause of Severe Chronic Finger Pain. Indian J Surg 85, 1503–1505 (2023). https://doi.org/10.1007/s12262-023-03744-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-023-03744-w