Case Report


Utilization of triple phase nuclear medicine bone scan for diagnosis of extradigital glomus tumors

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1 MS4 Student, Indiana University School of Medicine, Fort Wayne, IN, USA

2 IU Health Orthopaedic Surgery, Fort Wayne, IN, USA

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Jay Fiechter

BS, 13785 Alicante Way, Fort Wayne, IN 46845,

USA

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Article ID: 101454Z01JF2024

doi: 10.5348/101454Z01JF2024CR

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How to cite this article

Fiechter J, Noyes M. Utilization of triple phase nuclear medicine bone scan for diagnosis of extradigital glomus tumors. Int J Case Rep Images 2024;15(1):95–98.

ABSTRACT


Introduction: Presentations of glomus tumors in atypical areas have been documented and often lack the classic symptoms typically associated with glomus tumors. Diagnosis of extradigital glomus tumors is difficult and often comes after years of misdiagnosis.

Case Report: We present the case of an 82-year-old male with an extradigital glomus tumor at the tip of the olecranon. Gold standard magnetic resonance imaging (MRI) was negative and 3-phase nuclear medicine scan identified uptake near the olecranon process. Glomus tumor diagnosis was confirmed after pathology results. At two weeks post-op, the patient reported complete resolution of the pain. At the final follow-up, the patient had returned to all functional activities without pain and his strength was symmetric to the contralateral side.

Conclusion: This case demonstrates the importance of clinical suspicion in the workup and diagnosis of an atypical extradigital glomus tumor and how nuclear medicine scans can provide additional information in the presence of negative MRI.

Keywords: Elbow, Glomus tumor, Nuclear medicine scan

SUPPORTING INFORMATION


Author Contributions

Jay Fiechter - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Matthew Noyes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Jay Fiechter 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.