J Korean Soc Microsurg.
2012 May;21(1):50-55.
Glomus Tumors of the Fingers: A Report of 66 Cases
- Affiliations
-
- 1Department of Orthopaedic Surgery, Ajou University School of Medicine, Suwon, Korea. osdrlee@gmail.com
- 2Department of Family Medicine, Hankook General Hospital, Cheongju, Korea.
Abstract
- PURPOSE
We reviewed 66 cases of the glomus tumors in the hands. The purpose of this study was to review the characteristic signs and symptoms of glomus tumors and the surgical outcomes. We made hypothesis that (1) our guideline for surgical excision are reliable and (2) our surgical technique is efficient and less harmful to the nail root.
MATERIALS AND METHODS
The clinical diagnosis was made with occasional radiological studies and surgical excision was performed according to our indications. Patients with electrical shock-like pain by touching (the essential symptom) and at least 2 of 4 clinical signs and symptoms (cold hypersensitivity, paroxysmal pain that radiated proximally, blue discoloration, nail deformity for dorsal tumor or a palpable nodule for pulp tumor) underwent surgical excision.
RESULTS
The duration of symptoms of the patients was about 5.3 years. No difference of prevalence was found in both hands, but the thumb and the middle finger were more affected than the other fingers. The mean follow up period was 2.4 years and none of the patients complained the same characteristic pain at the last visit.
CONCLUSION
To the best of our knowledge, this report is the largest case series about glomus tumors in the finger tip. The clinical signs and symptoms are important to make a diagnosis of glomus tumors, and surgical excision is the treatment of choice.
