PMC4309659_01
Eminence thenar of the right hand with the areas where the neoformation was found (black arrows) and the Love test was positive.
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A man aged 65 with NF1 underwent to our institution complaining for severe pain of the thenar eminence in the right hand (Figures 1-2). Inspection highlighted a slight nodular swelling of the thenar eminence without any changes of the color and trophism of the skin (Figure 1).
Typical neurofibromas along the trunk and back of the patient
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A man aged 65 with NF1 underwent to our institution complaining for severe pain of the thenar eminence in the right hand (Figures 1-2).
Thermography show the hyperthermic area in the thenar eminence of the right hand where the glomus tumor was located (red arrow).
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Intraoperative findings. The glomus tumor was excised through a volar approach and was found to to be very shallow. The window on the left top shows the well capsulated neoformation as it appeared at the end of the procedure.
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The excised neoformation appeared macroscopically as a solid highly vascularized, encapsulated mass of 3 cm with a reddish-brown coloration (Figure 4).
PMC4309659_02
Histological findings: blood vessels surrounded by a proliferation of small round cells with dark nuclei in a myxoid stroma.
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Histological examination showed blood vessels surrounded by a proliferation of small round cells with dark nuclei in a myxoid stroma, confirming the diagnosis of glomus tumor (Figure 5).