Poster Presentation New Zealand Association of Plastic Surgeons Annual Scientific Meeting

When Glomus Isn’t the Answer: Diagnostic Pitfalls and Management of Three Atypical Benign Fingertip Tumours (1759)

Yang Gao 1 , Danielle Young 2 , Sandhya Deo 3 , Agneta Fullarton 3
  1. Plastic and Reconstructive Surgery, Middlemore Hospital, Auckland , New Zealand
  2. School of Medicine, University of Auckland, Auckland, New Zealand
  3. Plastic and Reconstructive Surgery, Hutt Valley Hospital, Lower Hutt, New Zealand

Background:
Fingertip tumours encompass a spectrum of predominantly benign pathologies. While many exhibit pathognomonic features, atypical presentations may lead to diagnostic inaccuracy or delay. This study elucidates the clinical, radiological, and histopathological characteristics of rare benign fingertip tumors to broaden diagnostic consideration.

Methods:
We present a case series of three patients with histologically confirmed rare benign fingertip tumors. Demographic data, clinical presentation, and radiological findings were systematically analyzed, with definitive diagnosis established through histopathological examination. All cases underwent surgical excision.

Results:
The series includes an intraosseous epidermal inclusion cyst, intravascular papillary endothelial hyperplasia, and a superficial acral fibromyxoma. Each case demonstrates distinct clinical, radiological, and histopathological profiles. Surgical excision was performed in all instances, with excellent postoperative outcomes and high patient satisfaction.

Conclusion:
Comprehensive knowledge of the diverse differential diagnoses for fingertip tumours—including their clinical and radiological hallmarks—is critical to minimize diagnostic errors and optimize timely intervention. This series underscores the importance of considering rare entities in the evaluation of fingertip masses.