1. Painful subungual glomus tumour of the left thumb
- Author
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Adisorn Patradul, Pravit Kitidumrongsook, Sittisak Honsawek, and Pobe Luangjarmekorn
- Subjects
Adult ,medicine.medical_specialty ,Skin Neoplasms ,Pain ,Thumb ,Article ,Lesion ,Nail Diseases ,medicine ,Humans ,business.industry ,General Medicine ,Nail plate ,medicine.disease ,Glomus Tumor ,Glomus tumor ,Surgery ,Tenderness ,medicine.anatomical_structure ,Nail disease ,Orthopedic surgery ,Female ,medicine.symptom ,business ,Exploratory surgery - Abstract
A 32-year-old woman presented with a 1-year history of severe paroxysmal pain, point tenderness and sensitivity to cold in her left thumb. On examination, a faint bluish lesion in the middle, radial subungual region of the left thumb was observed (figure 1A). Love's pin test was positive when pressure was applied with a pencil tip or pinhead on the lesion. She experienced excruciating pain, whereas pressure applied slightly to one side of it elicited no pain. We suspected a vascular tumour and exploratory surgery was performed by a dorsal, transungual approach. After complete removal of the nail plate, a reddish-blue lesion was evident at the nail bed (figure 1B). Histopathological examination demonstrated an encapsulated, well-defined mass to be a …
- Published
- 2013