Carroll RE & Berman AT: Glomus tumors of the hand: review of the literature and report on twenty-eight cases. J Bone Joint Surg Am 54 : 691, 1972.
Gombos Z & Zhang PJ. Glomus tumor. Arch Pathol Lab Med 132 : 1448, 2008.
Stewart DR , Sloan JL & Yao L et al.: Diagnosis, management, and complications of glomus tumours of the digits in neurofibromatosis type 1. J Med Genet 47 : 525, 2010.
Quigley JT: A glomus tumor of the heel pad. A case report. J Bone Joint Surg Am 61 : 443, 1979.
Yoneda A , Sugimoto K & Tsukada N et al.: Glomus tumor in the tarsal tunnel: a case report. J Foot Ankle Surg 56 : 865, 2017.
Khorasani H1 , Jensen CL , Bonde CT : Amputation of the forefoot in a 14-year-old boy due to infiltrative glomus tumour. Ugeskr Laeger 179 : V06170465, 2017.
Hildreth DH: The ischemia for glomus tumours: a new diagnostic test. Rev Surg 27 : 147, 1970.
Fletcher CDM , Unni K & Meretens F (eds): Pathology and Genetics of Tumours of the Nervous System, IARC Press, Lyon, France, 2002.
Weiss SW & Goldblum JR: “Perivascular Tumors,” in Enzinger and Weiss's Soft Tissue Tumors, 4th Ed, edited by Weiss SW & Goldblum JR p 985, Mosby, St. Louis, Mo, 2001.
Folpe AL , Fanburg-Smith JC & Miettinen M et al.: Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol 25 : 1, 2001.
Glomus tumors are rare and benign vascular soft-tissue masses commonly found subungually in the foot. A glomus tumor typically manifests with a classic triad of pain, point tenderness, and cold sensitivity. This case report describes an atypical presentation of a glomus tumor in the soft tissue of the rearfoot in a 77-year-old man in the setting of urosepsis. The mass had enlarged progressively for 6 months. Originally misdiagnosed as a hemangioma based on magnetic resonance imaging and clinical appearance, an excisional biopsy was performed. The lesion was subsequently diagnosed histopathologically as a glomus tumor. This article discusses the statistics of glomus tumor and discusses the importance of the need to recognize the symptoms and clinical findings of both typical and atypical presentation of this abnormality in differentiation and differential treatment and risk management of benign and malignant soft-tissue masses.
New York University, Winthrop, Mineola, NY. Dr. Kunz is now with the Department of Vascular Surgery, Stony Brook University Hospital, Stony Brook, NY. Dr. Ram is now with the Department of Pathology, New York University Winthrop Hospital, Mineola, NY.