Skin & Soft Tissue: Glomus Tumor

Definition

• Definition: Modified Smooth Muscle Tumor of Glomus Bodies
  • Globus Bodies – AV Shunts Surrounded by Connective Tissue Involved in Temperature Regulation
• Benign
• Associated with Neurofibromatosis Type 1

Sites

• Subungual – Most Common
• Deep Dermis of Palm, Wrist, Forearm or Foot

Presentation

• Severe Pinpoint Pain
• Cold Sensitivity
• Blue-Purple Mass

Diagnosis

• Clinical Diagnosis
• Love Test – Extreme Pain Elicited from Direct Pressure with a Pencil Tip or Pinhead
• Hildreth Sign – Reduced Pain with Proximal Tourniquet Inflation
• May Consider US or MRI

Treatment

• Primary Treatment: Surgical Excision