Case Report
 
A rare case of glomus tumor of the thigh: Malignant or not?
Chukwuemeka Ezeoke1, Dong Xiang2, Nishant Poddar3
1MD, LT (USN), Resident, Internal Medicine, St. Louis University Hospital, St. Louis, MO, USA.
2MD, Department of Hematology-Oncology St. Louis University Hospital, St. Louis, MO, USA.
3MD, Department of Hematology-Oncology, St. Louis University Hospital, St. Louis, MO, USA.

doi:10.5348/ijcri-2014140-CR-10451

Address correspondence to:
Nishant Poddar
MD, Assistant Professor, 3655 Vista Avenue, West Pavilion Cancer Center
Division of Hematology/Oncology Saint Louis University,
USA
Phone: 314-577-8854
Fax: 314-776-2287
Email: drnpoddar@gmail.com

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How to cite this article
Ezeoke C, Xiang D, Poddar N. A rare case of glomus tumor of the thigh: Malignant or not? Int J Case Rep Images 2014;5(12):818–821.


Abstract
Introduction: This is the case of a patient with a symptomatic painful mass on right thigh. The patient was found to have a very rare case of glomus tumor of the thigh, which has been seen in only 2% of cases since this tumor was first discovered in 1924. A glomus tumor should be considered in the differential diagnosis of a painful, benign mass in a limb.
Case Report: A 48-year-old African-American morbidly obese female presented with a tender mass on the back of her right thigh. The mass progressively increased in size for three months prior to presentation. She denied having a mass under the nail bed, hands, palms, or any breast lumps. Her yearly mammograms were negative. Magnetic resonance imaging (MRI) scan showed a well-circumscribed mass measuring 3.1x2.2 cm. She was referred to a vascular surgeon for excisional biopsy, which revealed a glomus tumor of uncertain malignant potential measuring 2.7 cm extending to the inked surgical margin. She underwent re-excision with no evidence of residual mass.
Conclusion: Glomus tumor of the thigh is very rare. Pain, tenderness, and cold hypersensitivity should raise the suspicion for glomus tumor.

Keywords: Glomus tumor of thigh, Glomus tumor with uncertain malignant potential, Glomus tumor


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Author Contributions
Chukwuemeka Ezeoke – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content; Final approval of the version to be published.
Dong Xiang – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nishant Poddar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published.
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Chukwuemeka Ezeoke et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.