Glomangioma of the hip.

Background: Glomus tumors may occur in any region of the body, but they are very rare in the hip.

Objective: To present the eighth reported case of a glomus tumor of the hip up to date.

Methods: This is a case report and a literature review.

Results: A 68-year-old man presented with severe pain and tenderness in the right hip, especially on palpation and in the sitting position. On physical examination, there was a soft palpable subcutaneous mass and severe tenderness in the right hip. Ultrasound revealed a hypervascular subdermal mass that was 2 cm in diameter. The lesion arose from the dermis and extended into the subcutaneous tissue. It was totally excised under local anesthesia. The histopathologic diagnosis was a glomangioma. The patient has been symptom free in the 2 months of follow-up.

Conclusions: Glomus tumors should be kept in mind in the differential diagnosis of painful subdermal mass. Surgical excision of the lesion with a sufficient margin of surrounding normal tissue not only achieves the exact diagnosis but also results in adequate treatment. In case of the presence of malignant features, a wide excision is needed with a close follow-up of patient for regional or distant metastases.