Vol 1 | Issue 1 | May – August\u00a02015 | page:48-50 | Umesh M Kulkarni[1], Vijay Zavar[2], Sudhir Sankalecha[3], Ameya Kulkarni[1].<\/p>\n
[1]Sanjivan Hospital, India Security Press Hospital, Nashik, Maharashtra, India.
\n[2]Skin Diseases Center, Nashik, Maharashtra, India.
\n[3]Sankalecha Labs, Nashik, Maharashtra, India.<\/p>\n
Address of Correspondence<\/strong> Introduction:<\/span> Glomus tumors are areteriovenous anastomoses mostly found on flexor surfaces of fingers and nail beds. Occurrences in lower extremity is rarity and requires high index of suspicion. The glomus body is a specialised form of arteriovenous anastomosis localised in the dermal soft tissue and acts as a thermoregulator. A glomus tumour (glomangioma, tumors of Popoff, or Barr\u00e9-Masson syndrome) is a benign mesenchymal neoplasm composed of cells which resemble the modified smooth muscle cells of the normal glomus body (glomocytes) [1]. Extra-digital location of glomus tumour is uncommon [2]. Considering the rarity of this site, we present this case of Glomus tumour (GT) of the knee.<\/p>\n Case Report<\/span><\/strong>
\nDr. Umesh M Kulkarni
\nSanjivan Hospital, India Security Press Hospital, Nashik, Maharashtra, India.
\nEmail : umesh_kulkarni76@yahoo.com<\/p>\n
\nAbstract<\/span><\/strong><\/h3>\n
\nCase Report:<\/span> Thirty eight year old housewife presented with severe knee pain and swelling on the medial side of the knee since last two years. She had taken multiple opinions and was on analgesics and anti inflammatory medications for an extended duration. On examination an ill defined tender nodule was palpable on superolateral aspect of patella. MRI showed hypointense nodule with uniform contrast uptake. Excision biopsy was done to remove the lesion in total. Patient has complete relief of symptoms. Histopathology confirmed the diagnosis of glomus tumor
\nConclusion:<\/span> Glomus tumors can rarely occur in unusual locations. Clinical presentation and MRI help to narrow down the diagnosis. Excision leads to complete relief of symptoms.
\nKeywords:<\/span> Glomus tumor, Knee, excision biopsy.<\/p>\n
\nIntroduction<\/span><\/strong><\/h3>\n
\nA 38-yr-old housewife presented with severe right knee pains, supero-laterally to the patella, progressive since 2 years. Even the gentle touch would result in disproportionate shooting or stabbing type of pains, sometimes associated with paraesthesia. At times, the touch of clothing was unbearable. There was no seasonal exacerbation of the pains, which increased on extreme flexion of the knee or sitting cross-legged, compromising her daily work. She had abnormal apprehensive behaviour towards any person or object near her knee. There was no history of trauma or any inflammatory episode of the knee. She had received a number of analgesics, anti-inflammatory and anti-psychotic agents without much relief. She was even advised a psychiatric consultation prior to coming to us. On examination, an ill-defined soft nodule was palpable at the point of maximum tenderness only on extreme flexion of the knee (Fig.1). It was exquisitely tender on deep palpation. Movements of knee were painful in terminal flexion. There was no increase in local temperature. Swelling was mobile in the transverse direction, indicating adherence to deeper fibrous layers.<\/p>\n