TY - BOOK AU - Damavandy, Ali Alexander AU - Skelsey, Maral Kibarian TI - Malignant Glomus Tumor Arising in a Long Standing Precursor Lesion SN - 0193-1091 PY - 2016/// KW - *Cell Transformation, Neoplastic KW - *Glomus Tumor/pa [Pathology] KW - *Skin Neoplasms/pa [Pathology] KW - Aged, 80 and over KW - Biomarkers, Tumor/an [Analysis] KW - Biopsy KW - Cell Proliferation KW - Female KW - Glomus Tumor/ch [Chemistry] KW - Glomus Tumor/su [Surgery] KW - Humans KW - Immunohistochemistry KW - Skin Neoplasms/ch [Chemistry] KW - Skin Neoplasms/su [Surgery] KW - Time Factors KW - Treatment Outcome KW - Tumor Burden KW - MedStar Washington Hospital Center KW - Dermatology KW - Case Reports KW - Journal Article N1 - Available online from MWHC library: Feb 1996 - present N2 - Malignant glomus tumor is an exceedingly rare vascular malignancy of unclear etiology, which is believed to arise de novo or from malignant transformation of a benign glomus tumor. The authors present a case of an elderly woman evaluated for a painful 2.5-cm purple-brown tumor on the right forearm that grew rapidly within a long-standing, seemingly benign lesion. An excisional biopsy revealed a multilobular dermal tumor composed of areas of benign-appearing glomus tumor cells interspersed with areas of dense, pleomorphic cells arranged in sheets and fascicles with an elevated mitotic rate. The diagnosis of malignant glomus tumor was made on the basis of the lesion's nuclear atypia and elevated mitotic rate. This case demonstrates malignant transformation of a presumably benign glomus tumor precursor lesion highlighting this rarely reported phenomenon. The authors present this case to raise awareness of this vascular malignancy that carries a significant risk of metastasis UR - https://dx.doi.org/10.1097/DAD.0000000000000481 ER -