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Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.

Jo HJ, Chae SU, Kim GD, Kim YJ, Choi DH, Park JI - Clin Orthop Surg (2015)

Bottom Line: While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe.Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe.The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

ABSTRACT
Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

No MeSH data available.


Related in: MedlinePlus

Coronal T1-weighted (A), sagittal T2-weighted (B), and sagittal gadolinium-enhanced fat-saturated T1-weighted (C) magnetic resonance imaging scans of the left foot showing the approximate 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion and low-signal rim with iso signal intensity on T1-weighted and high signal intensity on T2-weighted images compared to adjacent muscles, and homogeneous contrast enhancement in the distal phalanx of the second toe (arrowheads).
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Figure 2: Coronal T1-weighted (A), sagittal T2-weighted (B), and sagittal gadolinium-enhanced fat-saturated T1-weighted (C) magnetic resonance imaging scans of the left foot showing the approximate 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion and low-signal rim with iso signal intensity on T1-weighted and high signal intensity on T2-weighted images compared to adjacent muscles, and homogeneous contrast enhancement in the distal phalanx of the second toe (arrowheads).

Mentions: Physical examination revealed point tenderness at the nail of the left second toe, with no evidence of deformity or discoloration of the nail. Range of motion of the second toe was intact. Radiographs of the left foot demonstrated a focal osteolytic lesion with a subtle sclerotic margin in the distal phalanx of second toe (Fig. 1). A diagnostic inspection through magnetic resonance imaging (MRI) focused on the presence of a 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion, with a low signal rim on all pulse sequences (Fig. 2). We originally diagnosed a subungual glomus tumor.


Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.

Jo HJ, Chae SU, Kim GD, Kim YJ, Choi DH, Park JI - Clin Orthop Surg (2015)

Coronal T1-weighted (A), sagittal T2-weighted (B), and sagittal gadolinium-enhanced fat-saturated T1-weighted (C) magnetic resonance imaging scans of the left foot showing the approximate 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion and low-signal rim with iso signal intensity on T1-weighted and high signal intensity on T2-weighted images compared to adjacent muscles, and homogeneous contrast enhancement in the distal phalanx of the second toe (arrowheads).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553296&req=5

Figure 2: Coronal T1-weighted (A), sagittal T2-weighted (B), and sagittal gadolinium-enhanced fat-saturated T1-weighted (C) magnetic resonance imaging scans of the left foot showing the approximate 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion and low-signal rim with iso signal intensity on T1-weighted and high signal intensity on T2-weighted images compared to adjacent muscles, and homogeneous contrast enhancement in the distal phalanx of the second toe (arrowheads).
Mentions: Physical examination revealed point tenderness at the nail of the left second toe, with no evidence of deformity or discoloration of the nail. Range of motion of the second toe was intact. Radiographs of the left foot demonstrated a focal osteolytic lesion with a subtle sclerotic margin in the distal phalanx of second toe (Fig. 1). A diagnostic inspection through magnetic resonance imaging (MRI) focused on the presence of a 0.7 × 0.6 × 0.5 cm well-marginated osteolytic lesion, with a low signal rim on all pulse sequences (Fig. 2). We originally diagnosed a subungual glomus tumor.

Bottom Line: While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe.Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe.The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

ABSTRACT
Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that superficial fibromatosis should be included in the differential diagnosis of a glomus tumor in the toe.

No MeSH data available.


Related in: MedlinePlus