Arch Plast Surg.  2013 Sep;40(5):492-495. 10.5999/aps.2013.40.5.492.

Where is the Lesion? Glomus Tumours of the Hand

Affiliations
  • 1Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong. medic.chris.tang@gmail.com

Abstract

Glomus tumours are vascular hamartomas that are commonly found in the hand, particularly the subungual region. They appear as solitary or multiple tumours, and often present as a bluish discoloration of the nail plate. Different diagnostic tests are outlined, as well as imaging studies such as magnetic resonance imaging and ultrasound. Misdiagnosis and delayed diagnosis of these tumours are common, while a familial tendency is a potential risk factor but not yet proven. Complete surgical excision often results in complete symptomatic relief, while recurrences are largely due to incomplete excision or the growth of a new glomus tumour. This article aims to review the key aspects of glomus tumours and provide a diagnostic algorithm so that the lesion can be recognized and treated earlier.

Keyword

Glomus tumor; Disease; Hand

MeSH Terms

Delayed Diagnosis
Diagnostic Errors
Diagnostic Tests, Routine
Glomus Tumor
Hamartoma
Hand
Magnetic Resonance Imaging
Nails
Recurrence
Risk Factors
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