Learning objectives
1.
To illustrate the radiographic Ultrasound Colour Doppler ,
MRI and Contrast Enhanced MR angiographic features of Glomangiomas
2.To illustrate the Imaging features of Subungual tumours with Radio pathological Correlation
3.To illustrate the Typical atypical locations of Glomus tumours.
Background
Glomus tumor is a rare benign tumor of the glomus body that was first described surgically by Wood in 1812.
In pathologic terms,
this tumor is a hamartoma that develops from the neuromyoarterial glomus body,
which was originally described by Masson and Popoff.
The glomus body is a highly specialized arteriovenous anastomosis that is responsible for thermoregulation.
Glomus bodies consist of an afferent arteriole,
a tortuous arteriovenous anastomosis,a system of collecting veins,
and a neurovascular reticulum that regulates the flow of blood through the anastomosis....
Imaging findings OR Procedure Details
Subungual tumors:
benign solid tumors (glomus tumor,
subungual exostosis,
soft-tissue chondroma,keratoacanthoma,
heman-gioma,
lobular capillary hemangioma),
benign cystic lesions (epidermal and mucoid cysts).
malignant tumors (squamous cell carcinoma,
malignant melanoma).
The normalsubungual space is very small,
with a thickness of only 1-2 mm As a result,
any tumorsof the subungual space,
irrespective of their histologic nature,
can erode into the distalphalanx of the digits.
Clinical Features in subungual glomus tumor:
nail deformity
and change of color beneath the nail and a scalloped defect of the distal...
Conclusion
It is important to comprehensively understand the typical and atypical sites and imaging patterns of Glomangiomas and Glomangiosarcomas.
Glomus tumors are generally indolent and are cured by
surgical resection,
so distinguishing atypical glomus tumors from other entities is valuable
References
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Berman AT.
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Glomus tumors of the hand.
Review of the literature
and report on twenty-eight cases,
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Drapé JL,
Idy-Peretti I,
Goettmann S,
Guérin-Surville H,
Bittoun J.
1996.
Standard
and high resolution magnetic resonance imaging of glomus tumors of toes and
fingertips.
J Am Acad Dermatol 35: 550-555.
3.
Enzinger FM,
Weiss SW.
1995.
Perivascular tumors.
In: Soft tissue tumors.
3rd ed.
St.
Louis: Mosby; p.701-733.
4.
Hou SM,
Shih TTF,
Lin MC.
1993.
Magnetic resonance...