J Med Assoc Thai 2001; 84 (11):1641

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Primary Intraosseous Glomus Tumor : A Case Report
Settakom J Mail, Arpomchayanon O , Chalidapong P , Chaiwun B , Rangdaeng S

We reported a rare case of a primary intraosseous glomus tumor in a 53-year-old woman
who had a small lytic lesion in the distal phalanx of her left index finger. The radiologic appea-
rance showed a well circumscribed osteolytic lesion without sclerotic rim. Histologic examination
revealed solid nests or sheets of polygonal cells surrounding branching vasculatures consistent with
a glomus tumor. Curettage resulted in complete removal of the tumor as well as pain alleviation.
The patient was well without evidence of recurrent disease following an 18 month follow-up. Despite
its rarity, intraosseous glomus tumor should be included in the differential diagnosis of bone lesions
in which plain radiography showed a well circumscribed punch-out lesion without sclerotic rim
especially those arising in the finger.
Key word : Intraosseous Glomus Tumor, Glomus Tumor, Pericyte

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