Lesion SMA Coll IV DES CD117 CD34 NEm S100 LCA CKs Molecular Testing
GlomusTumor + + - - - - - - - none
GIST -/+* -/+ - + +/- - - - - c-KIT, PDGFRa, BRAF, SDH
Carcinoid - - - - - + - - + none
Paraganglioma - - - - + +^ - -    
Leiomyoma + - + - - - - - - none
Schwannoma - - - - - - - - none
Granular cell tumor - - - - - - - - none
Melanoma - - - -/+ - - - - BRAF, c-KIT
Lymphoma - - - - - - - + - none
Abbreviations: SMA: Smooth Muscle Actin; DES: Desmin; ChrA: Chromogranin A; Syn: Synaptophysin; CKs: Cytokeratins; CollIV: Collagen IV; *: positive in small intestine GIST; ^: Positive in Substentacular cells; §: HMB45, Melan A, tyrosinase and miTF are generally positive in melanoma, but not in other S100-positive tumors; PDGFR: Platelet-derived growth factor receptor; SDH: Succinate Dehydrogenase complex
Table 4: Helpful findings in differential diagnosis between Glomus Tumors and other mimicking lesions.