Cases reported "Nail Diseases"

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1/9. Glomus tumors.

    The authors report a series of 12 consecutive patients with 13 glomus tumors operated from July 1991 until February 1999. Symptoms were present for an average of 1.9 years before surgery. women were more frequently affected. The mean age was 44 years. In 12 of the 13, the tumor was located in the distal phalanx and one patient had a glomus tumor on the dorsum of the hand. One glomus tumor was found in the right hallux of a two-year-old child. Both hands and all fingers were equally involved. One bilateral glomus tumor was associated with neurofibromatosis. All tumors were resected and histology confirmed the diagnosis. The result was good with immediate pain relief. No recurrence has been noted to date.
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keywords = glomus
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2/9. On glomus tumors, warts, and razors.

    BACKGROUND: Occam's razor encourages ascribing a set of clinical findings to a single diagnosis. OBJECTIVE: To present a patient with a subungual wart and a glomus tumor of the same nail unit and to review the literature regarding these conditions. methods: We describe a 58-year-old female with a 2-year history of nail dystrophy and related symptoms that were initially attributed to verruca but recalcitrant to extensive therapies. RESULTS: Ultimately the persistence of her symptoms was found to be secondary to a subungual glomus tumor. CONCLUSION: Clinicians must maintain a high index of suspicion for the presence of multiple diagnoses to prevent the delay of appropriate management, particularly when symptoms do not respond to initial treatment.
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ranking = 1.5
keywords = glomus
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3/9. Subungual glomus tumor diagnosis based on imaging.

    A 50-year-old woman had had tenderness of the nail bed of the right thumb for more than 20 years. For the previous 5 or 6 years, she had also had attacks of pain with exposure to cold, and deformity of the right thumb nail plate began to appear. There was red discoloration on the proximal aspect of the nail bed, and a longitudinal fissure on the distal aspect of the nail plate. ultrasonography showed a well-circumscribed hypoechoic area under the proximal aspect of the nail plate and the nail matrix. color Doppler ultrasonography showed subtle flow signals within the hypoechoic area. magnetic resonance imaging showed a well-circumscribed mass in the same place that the ultrasonography indicated. It was isointense to the dermis of the nail bed on the T1-weighted image and hyperintense on the T2-weighted image. radiography showed subtle dorsal bone erosion in the distal phalanx. Surgery was performed. Histologically, the diagnosis of a subungual glomus tumor was made. We diagnosed the exact location and size of the subungual glomus tumor by preoperative imaging and completely removed it easily and safely. Imaging is very useful for diagnosing tumors of the nail unit.
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keywords = glomus
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4/9. glomus tumor of the index finger.

    A 41-year-old female patient presented with localized worsening subungual pain of her right index finger. Subsequent diagnostic evaluation revealed the presence of a glomus tumor. A glomus tumor is a rare tumor with a predilection for the hand. Classic symptoms include pain, pain with pressure, and pain with cold temperature. We present a completely updated literature review that addresses the epidemiology, pathology, presentation, diagnostic evaluation, classification, histology, genetics, and treatment options for glomus tumors.
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ranking = 0.75
keywords = glomus
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5/9. Exploratory nail plate removal as a diagnostic aid in painful subungual tumors: glomus tumor, neurofibroma, and squamous cell carcinoma.

    Three rare, painful subungual tumors were precisely identified and evaluated following exploratory nail plate removal. Surgical excision of each was curative.
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ranking = 1
keywords = glomus
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6/9. Squamous cell carcinoma of the great toe.

    Nail bed malignancies are rare entities. Most nail bed malignancies are squamous cell carcinomas. The correct diagnosis is often delayed because nail bed malignancies are frequently mistaken for benign or infectious processes. This case involved a painful glomus tumor of the nail bed which complicated the diagnosis and perhaps initiated the development of a malignancy. The importance of a biopsy for chronic nonhealing lesions is stressed. The diagnosis, treatment, and prognosis are reviewed.
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ranking = 0.25
keywords = glomus
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7/9. Subungual glomus tumor of the hallux.

    An unusual case of subungual glomus tumor involving the left hallux of a forty-year-old black man is presented, with a review of the literature. The histopathologic appearance, clinical presentation, differential diagnosis, and treatment for a subungual glomus tumor are reviewed. The glomus tumor is a rare hamartomatous overgrowth of the normal glomus elements found in the skin. The tumor presents as a painful, benign growth, most often in the digits.
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keywords = glomus
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8/9. Synchronous glomus tumors in a distal digit: a case report.

    Glomus tumors occurring synchronously in the subungual region and the pulp of a fingertip are extremely uncommon. awareness of this will lead to early diagnosis and treatment.
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keywords = glomus
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9/9. A case of subungual osteochondroma.

    Subungual osteochondroma is a rare form of benign bone tumor characterized by distinctive histopathological and radiological findings. The major clinical manifestation is a firm mass with tenderness. It must be differentiated from other similar diseases such as subungual exostosis, glomus tumor, and enchondroma to determine the proper surgical procedure. A 13-year-old boy had a history of a growing tender mass on the right third toe which recurred after simple excision. He was treated by careful dissection and total excision under local anesthesia. Histologic findings included a trabecular bone formation covered with hyaline cartilage cap and were compatible with osteochondroma.
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ranking = 0.25
keywords = glomus
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