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Giant Glomus Tumor and Neuroma in the Fifth Ray

A Case Report

José Valero Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain.

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José Gallart Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain.

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David González Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain.

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Javier Deus Department of Surgery, Obstetrics and Gynecology, Zaragoza University, Zaragoza, Spain.

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Manuel Lahoz Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain.

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We present the case of a patient with a glomus tumor that was atypical because of its large size and histologic characteristics. It was located in the dorsal-distal zone of the fifth ray of the left foot and was associated with a neuroma under the fifth metatarsal head. Although the pain (of a neurologic type) was attributed to the neuroma, the unknown nature and evolution of the dorsal lesion (glomus tumor) made surgical treatment necessary. Surgery, together with compensating treatment of the functional alterations of the patient's feet (pronation of the subastragalar joint, supination of the forefoot, and fifth metatarsal overload syndrome), resolved the case.

Corresponding author: Manuel Lahoz, MD, PhD, Department of Human Anatomy and Histology, Zaragoza University, Zaragoza 50009, Spain. (E-mail: mlahozg@unizar.es)