“Not all Glomus are Painful”: A Rare Case Report of Painless Glomus Tumor in Young Female

Glomus tumors are benign vascular hamartoma that originates from the neuromyoarterial cells of the normal glomus apparatus in the reticular dermis. The etiology of glomus tumors is unknown. It usually presents as a small, slightly raised, bluish or pinkish-red, painful nodule of the fingertips and the pulp. We report an atypical case of a patient presenting with painless glomus tumor. Our patient, a 25-year-old female, had a 2.5 cm purplish, painless, soft swelling in the pulp of the fifth finger in the right hand, involving the distal phalanx of her right little finger, for 3 years. No bony lesions were identified by radiographic studies, but magnetic resonance imaging was suggestive of glomus tumor. Surgical excision and biopsy were performed with good outcomes. The diagnosis of a glomus tumor is also an eventuality, even in the absence of pain.