INTRODUCTION: Glomus tumor is a rare and benign vascular tumor. Although symptoms specific for this tumor are quite clear, there is still a delay between the onset of symptoms, diagnosis and subsequent surgical therapy. The authors monitor the time from the onset of symptoms to the diagnosis and management of the problems. MATERIAL AND METHODS: Between 2004-2012, a total of 5 patients were diagnosed with subungual glomus tumor in the area of the distal phalanges of the hand. It involved 3 women and 2 men with the mean age of 32.2 years (26-47 years). During the first examination, we monitored the duration of symptoms, number and specialty of the doctors who examined the patient, and what examinations were performed. When the cold test was positive, MRI was performed and the patients were indicated for surgical revision. Tissue samples in all patients were histologically examined. Patients were followed for 2 years. RESULTS: It was found that the patients had clinical symptoms for an average of 2.4 years. In our group, the patients were examined by an average of 5.4 physicians (3-9 physicians). On examination before surgery, three patients reported changes in the nail bed and two patients reported no change. When following the patients 2 years after the surgery, relapse occurred in one patient and it was treated with reoperation. During regular follow-up 2 years after the surgery, 4 patients were without nail deformity. In one patient, there was resulting nail deformity. Relapse occurred in only one case. DISCUSSION: Because the glomus tumor is a rare lesion, occurring most frequently in the nail bed, early diagnosis is still a problem. Even in literature, we encounter a similar time frame from the onset of symptoms until the final diagnosis of 1.9 to 8 years. CONCLUSION: Although clinical signs and problems concerning the glomus tumor are very obvious, there still remains a long time for diagnosis. It would certainly be most beneficial for patients with persistent symptoms not to be referred to different specialists, but directly to a department that specializes in hand surgery.

• Klíčová slova
• Glomus tumor, hand tumor diagnosis., tumor of the hand,
• MeSH
• dospělí MeSH
• glomangiom * diagnóza   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory kůže * diagnóza   MeSH
• nehty patologie   MeSH
• nemoci nehtů * diagnóza   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

BACKGROUND: Glomus tumor is a rare disease of the nail apparatus. It is a well-defined tumor of 1 cm size in diameter, which originates from glomus cells of glomus bodies. Despite a well-defined clinical picture and histological information, the disease causes longtime difficulties and discomfort for patients that may be diagnosed only after several years of repeated inefficient treatment. MATERIALS AND METHODS: In our female patient, three years passed from the onset of the first symptoms of the tumor to final diagnosis. The patient had to undergo many tests and examinations, but the final diagnosis was proven on the basis of clinical experience. RESULTS: New findings and knowledge about the diagnosis of glomus tumor are relevant for a number of medical fields because the patients with similar problems and unexplained persistent pain of the nail can be treated at various clinical departments.

• MeSH
• glomangiom diagnóza   MeSH
• lidé MeSH
• nádory kůže diagnóza   MeSH
• nemoci nehtů diagnóza   MeSH
• opožděná diagnóza MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• kazuistiky MeSH

Carotid body tumours are rare, usually benign tumours. The dangerous nature of carotid body tumours is due to their hypervascularization and the intimate relationship to cervical arteries and cranial nerves. In a case report, the authors document that misdiagnosis and efforts to remove or obtain a biopsy of the tumour outside vascular centres can be more dangerous for the patient than the nature of the tumour itself.

• MeSH
• arteria carotis interna * MeSH
• biopsie MeSH
• chybná diagnóza * MeSH
• glomangiom diagnóza   MeSH
• lidé středního věku MeSH
• lidé MeSH
• počítačová rentgenová tomografie MeSH
• tumor karotického glomu diagnóza   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• MeSH
• dospělí MeSH
• glomangiom diagnóza   patologie   MeSH
• kosti prstů ruky * MeSH
• lidé MeSH
• nádory kostí diagnóza   patologie   MeSH
• palec ruky MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

Glomus tumors are benign neoplasms that differentiate from the glomus apparatus. This neoplasm is clinically characterized by a typical symptomatological triad: paroxysmal pain, pinpoint pain and hypersensitivity to cold. The diagnosis is usually clinical, but can be confirmed by instrumental tests such as X-ray, MRI, selective arteriography and most commonly by ultrasound, with or without Doppler. Surgical resection of the glomus tumor is the definitive treatment with resolution of all symptoms. From 1997 to 2007, 21 surgically-treated cases were reviewed and here we report the clinical assessment that was used. The nine most recent cases of glomus tumor underwent surgery after clinical assessment alone. In our opinion clinical examination is the most effective method to diagnose this type of tumor and in selected cases it may be sufficient to undergo surgical therapy.

• MeSH
• angiografie metody   MeSH
• diferenciální diagnóza MeSH
• dospělí MeSH
• glomangiom diagnóza   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• magnetická rezonanční tomografie metody   MeSH
• nádory měkkých tkání diagnóza   chirurgie   MeSH
• následné studie MeSH
• prsty ruky * diagnostické zobrazování   patologie   MeSH
• retrospektivní studie MeSH
• ultrasonografie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

• MeSH
• dospělí MeSH
• glomangiom diagnóza   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory kůže diagnóza   chirurgie   MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• diferenciální diagnóza MeSH
• dospělí MeSH
• glomangiom diagnóza   genetika   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory kůže diagnóza   genetika   MeSH
• rodokmen MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH