Glomangiomyoma: An unusual neck mass with atypical presentation in a child- A case report

Divya Sugumaran; Abirami Mahadevan; Kalpana Sivalingam

doi:10.5455/ajdi.20231026054822

Abstract
Background:
Glomangiomyoma is a rare histological variant of glomus tumour. Clinically, it was referred to as enlarged cervical lymph node and is challenging to diagnose. Only one case was reported in the neck of a child so far in the literature.
Case summary:
A 10 year old girl presented with the complaints of painful progressive neck swelling in the left side for two and half year. Sonography and Contrast enhanced CT neck suggested a slow flow vascular malformation and fine needle aspiration cytology (FNAC) was inconclusive, demonstrating only a few blood cells. The mass was removed in toto under general anaesthesia without postoperative complications. The histopathology confirmed it to be glomangiomyoma
Conclusion:
It is an extremely rare variant of glomus tumour and only one case of a Glomangiomyoma reported in the neck of a child. Although it is a rare occurrence, when encountering a subcutaneous mass that initially appears a venous malformation but exhibits pain, consideration should be given to glomus tumours or related conditions.

Key words: Slow flow vascular malformation, Glomangiomyoma, Hemangioma, Neck space,Phlebolith