Nail Unit Glomus Tumor with Myxoid and Symplastic Change Presenting with Longitudinal Erythronychia

Glomus tumors are soft tissue neoplasms, which are most frequently encountered in the nail unit and generally straightforward to diagnose by histopathology. The typical clinical presentation is that of a circular violaceous or erythematous lesion within the nail bed. However, there are rare variants of glomus tumors which may pose diagnostic challenges because of the presence of unusual histologic features. Herein we report such a glomus tumor that demonstrates the rare combination of both myxoid and symplastic change. The clinical presentation of longitudinal erythronychia, as seen with this case, can occur with glomus tumors, but it is unusual, as longitudinal erythronychia on a single nail usually is caused by an onychopapilloma. The distinct nuclear atypia characteristic of symplastic change can raise alarm for a malignant process but the clinical course is benign. It is essential for dermatopathologists to be aware of this unusual variant of a glomus tumor in order to avoid overdiagnosis of atypia, which could result in unnecessary aggressive surgery. While unusual, there is good clinicopathologic correlation of the glomus tumor presenting with longitudinal erythronychia.Dermatopathology 2018;5:74 –78
Source: Dermatopathology - Category: Pathology Source Type: research

Related Links:

No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: NACNS News Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Legal and Ethical Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Using Research to Advance Nursing Practice Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Pharmacology Consult Source Type: research
Conclusion: As challenges facing the role put it at risk and healthcare becomes increasingly value based, the need for expert clinicians who can demonstrate their value becomes essential. Clinical nurse specialists and hospital leadership can benefit from exploring successful interventions to rebuild CNS teams to achieve these goals.
Source: Clinical Nurse Specialist - Category: Nursing Tags: Feature Article Source Type: research
Conclusion: By influencing a certain patient population throughout the organization, population-focused CNSs are in a unique role to lead an interprofessional team or serve as an expert consultant in pursuing DSC certification from The Joint Commission.
Source: Clinical Nurse Specialist - Category: Nursing Tags: Feature Article Source Type: research
Conclusions: Implementation of an adapted aspiration risk assessment screening tool to document risk of hospital-acquired aspiration pneumonia and aspiration precautions protocol was associated with a decrease in aspiration pneumonia rates.
Source: Clinical Nurse Specialist - Category: Nursing Tags: Feature Article Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Educator’s Corner Source Type: research
No abstract available
Source: Clinical Nurse Specialist - Category: Nursing Tags: DEPARTMENTS: Nursing and the Arts Source Type: research
More News: Cancer & Oncology | Dermatology | Pathology