Glomus tumor MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

An MRI may be helpful in the diagnosis of glomus tumor. Findings on MRI suggestive of glomus tumor include slightly hypointense or hyperintense T1 images and hyperintense T2 images.

MRI

  • MRI may be helpful in the diagnosis of glomus tumor. Findings on MRI suggestive of glomus tumor include:[1]
    • T1 images
      • Slightly hypointense or hyperintense
    • T2 images
      • Hyperintense
  • Depending on the histologic subtype, diagnosis of glomus tumor may be more difficult and the signal can sometimes appear similar to the nail bed.[1]
    • The T1 image appears much more intense following gadolinium injection, allowing the lesion to be visualized more clearly.
  • The technique can be particularly useful for the detection of early lesions, which are very small (even 2 mm lesions) and difficult to diagnose either by physical examination or using other imaging techniques.[1]
  • It can also be useful for assessment of patients with recurrence or incomplete resolution of symptoms following surgery.[2]
MRI component Findings

T1

Hypointense or hyperintense

T2

  • Hyperintense

T1 with contrast

  • Contrast enhancement (usually uniform) due to vascularity

Gallery

References

  1. 1.0 1.1 1.2 Koç O, Kivrak AS, Paksoy Y (2007). "Subungual glomus tumour: magnetic resonance imaging findings". Australas Radiol. 51 Spec No.: B107–9. doi:10.1111/j.1440-1673.2007.01797.x. PMID 17875128.
  2. Drapé JL, Idy-Peretti I, Goettmann S, Wolfram-Gabel R, Dion E, Grossin M; et al. (1995). "Subungual glomus tumors: evaluation with MR imaging". Radiology. 195 (2): 507–15. doi:10.1148/radiology.195.2.7724775. PMID 7724775.


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