Glomus Tumor of Finger Often Misdiagnosed as Peripheral Neuropathy: A Case Report
Published: 2022-08-24
Page: 164-171
Issue: 2022 - Volume 5 [Issue 2]
Indra Kumar Gurung
Department of Orthopedics, Pokhara Academy of Health Sciences, Pokhara, 284403, Nepal.
Surakshya Baral
Department of Emergency Medicine, Manipal College of Medical Sciences, Pokhara, 284403, Nepal.
Jhapindra Pokharel
Department of Orthopedics, Pokhara Academy of Health Sciences, Pokhara, 284403, Nepal.
Bhim Sigdel
Department of Orthopedics, Pokhara Academy of Health Sciences, Pokhara, 284403, Nepal.
Anil Regmi *
Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: A glomus tumor is a benign, rare neoplasm that arises from the glomus body of palms, digits and soles of the feet. In the absence of visible local lesions or a complete triad, patients often visited different departments of hospitals for pain relief, which delayed diagnosis.
Objective: This paper aims to present the case of a middle-aged female who was previously misdiagnosed with neuralgia, later diagnosed as a case of Glomus tumor right index finger successfully managed by surgical excision.
Case Presentation: 30-year-old female initially managed as neuropathic pain at primary health centre as diagnosed as subungual Glomus tumor of right index finger, which was managed with transungual surgical excision and replacement of nail to prevent with deformity, with clinical improvement in symptoms, no signs of recurrence, and no nail deformity at 2 month follow up.
Conclusion: Glomus tumors are rare and often misdiagnosed due to gross inspection findings. A classic triad of symptoms is more effective at diagnosing than radiological methods. Complete surgical excision by transungual approach is a treatment of choice for subungual tumors.
Keywords: Glomus tumor, peripheral neuropathy, neuralgia, misdiagnosis, excision, transungual approach, case report