Short-Scar Surgical Approach for the Treatment of Glomus Tumor of the Digit

2011 ◽  
Vol 15 (1) ◽  
pp. 21-28
Author(s):  
Emanuele Cigna ◽  
Francesca Palumbo ◽  
Liliana De Santo ◽  
Andrea Edoardo Zampieri ◽  
Giuseppe Soda
Keyword(s):  
Surgical Approach ◽  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Radical Resection ◽  
Surgical Approaches ◽  
Complete Regression ◽  
Recurrence Rates ◽  
Glomus Tumors ◽  
Short Scar

Background: A glomus tumor is a biologically benign neoplasm. The traditional surgical approach to treat this tumor boasts the lowest recurrence rates but may cause nail deformities. Objective: A short-scar surgical approach was applied, with the aim of preserving the aesthetics of the nail. Methods: Between January 1999 and January 2009, 25 patients who underwent surgery for a glomus tumor were included in the study. All patients underwent radical resection with three different surgical approaches based on the location of the tumor. Results: All patients who were operated on had complete regression of pain immediately after surgery and at postsurgery follow-ups. Conclusion: The treatment of glomus tumors consists of surgical excision, which is successful if properly executed. Excision of sensitive afferent nervous fibers is a prerequisite to achieve regression of pain. A short-scar surgical approach ensures complete eradication of the tumor and preservation of nail aesthetics.

scholarly journals Digital Glomus Tumor: Bibliographic Review of the Studies Published over the Past 10 Years

2021 ◽  
Vol 49 (01) ◽  
pp. 046-055
Author(s):  
Victoria Hernández ◽  
Tania Lena ◽  
Eliana Camacho ◽  
Matías Craviotto
Keyword(s):  
Glomus Tumor ◽  
Case Reports ◽  
Low Frequency ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Glomus Tumors ◽  
The Past ◽  
Pubmed Search ◽  
Magnetic Resonance Imaging Mri

AbstractGlomus tumors are a mostly benign neoplasm that constitutes less than 4% of upper-limb soft-tissue tumors. Its unspecific clinical presentation, added to its low frequency, leads to a late diagnosis.The objective of the present study is to update the clinical-paraclinical approach and the surgical technique used in the treatment.We carried out a literature review from 2014 to 2019 on digital glomus tumor in the hand in adult patients using the PubMed search engine.In most of the publications analyzed, the diagnosis was clinical, with a delay of 1 to 10 years. Plain radiography is the most requested study; of the 16 articles reporting its indication, only half evidenced compatible changes. Magnetic resonance imaging (MRI) was requested in 15 articles, presenting normal results in 3 of them. The treatment of choice was surgical excision using a transungual approach. Only 4 articles report recurrence after excision.Although there is diversity in the approach to these tumors, we conclude that the diagnosis is clinical, and the treatment surgical, and there is no consensus regarding the paraclinical indication. The information available comes mainly from case reports, publications that contribute to the generation of evidence for the clinical practice in rare diseases such as this one.

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

2020 ◽  
Vol 52 (03) ◽  
pp. 202-206
Author(s):  
Osman Civan ◽  
Özgün Barış Güntürk ◽  
Kemal Özaksar ◽  
Ali Cavit ◽  
Haluk Özcanli
Keyword(s):  
Surgical Approach ◽  
Glomus Tumor ◽  
Proximal Part ◽  
Tumor Location ◽  
Surgical Approaches ◽  
First Year ◽  
Topographic Map ◽  
Algorithmic Approach ◽  
Glomus Tumors ◽  
Nail Bed

Abstract Purpose Glomus tumors are rare vascular pathologies characterized by a triad of symptoms: tenderness, pain and cold intolerance. In the hand they are highly concentrated under the nail bed. In this retrospective study, we aimed to present a topographic map of the location of glomus tumors in the nail bed and a map-based surgical approach algorithm to the subungual glomus tumors. Methods We prepared a nail bed map with 6 zones and named these zones as ulnar distal, ulnar proximal, central distal, central proximal, radial distal and radial proximal. With respect to the tumor location and the used surgical approach we retrospectively evaluated the intraoperative photos and the hospital records of patients who were operated between 2008–2019 and had the pathological diagnosis of glomus tumor. The examination records of the postoperative first year were evaluated for each patient retrospectively. A descriptive statistical analysis was performed. In addition we analyzed the described surgical approaches to excise a glomus tumor in the nail bed. The described approaches and the approaches used by us were matched with the localisation of the tumors in this study developing an algorithm for the surgical approach depending on the localisation of the nail bed glomus tumor. Results Finally 44 patients had inclusion criteria. The distribution of the glomus tumor was as follows: 2 were on ulnar distal (4.5 %), 9 on ulnar proximal (20.5 %), 1 on central distal (2.3 %), 18 on central proximal (40.9 %), 4 on radial distal (9.1 %) and 10 were on the radial proximal zones (22.7 %). 4 lateral approaches, 1 nail sparing and 39 transungual approaches were performed. We had one recurrence in a male patient operated by transungual approach. Conclusion Glomus tumors are mostly located on the central proximal part of the nail bed. Our glomus map and the algorithm we described might be helpful for the selection of the surgical approach for the glomus tumor.

scholarly journals Intravascular Glomus Tumor of the Forearm Causing Chronic Pain and Focal Tenderness

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sang Ki Lee ◽  
Dae Geon Song ◽  
Won Sik Choy
Keyword(s):  
Chronic Pain ◽  
Glomus Tumor ◽  
Rare Condition ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Glomus Tumors ◽  
Contrast Magnetic Resonance ◽  
History Of ◽  
Subcutaneous Layer ◽  
Magnetic Resonance Imaging Mri

Introduction. A glomus tumor is a benign vascular tumor derived from glomus cells and occurs mainly in the subcutaneous layer of the subungual or digital pulp. Extradigital glomus tumors have been reported within the palm, wrist, forearm, foot, bone, stomach, colon, cervix, and mesentery. Glomus tumors can originate from the intraosseous, intramuscular, periosteal, intravascular, and intraneural layers. However, a glomus tumor originating from the intravascular layer of the forearm is a rare condition.Case Report. A 44-year-old woman had a 7-year history of chronic pain and focal tenderness of the forearm. No hypersensitivity or sensory alterations were observed. Contrast magnetic resonance imaging (MRI) showed a mass measuring 5 × 3 × 2 mm leading to a vein. Surgical excision was performed, and the tumor was completely resected. Finding of gross examination revealed a dark-red, well-defined soft tissue tumor, and histologic examination confirmed that the mass was a glomus tumor. The patient’s symptoms were completely resolved postoperatively.Conclusion. Intravascular glomus tumors rarely occur in the forearm; therefore, a thorough physical exam, comprehensive medical history, in-depth imaging, and early surgical excision upon clinical suspicion may be helpful to prevent a delayed or incorrect diagnosis.

scholarly journals A 15-year mystery resolved: a large bone-boring glomus tumor mistaken as dermatitis

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Sarah Bouayyad ◽  
Mohamed Abdelaty ◽  
Anuj Mishra
Keyword(s):  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Clinical Tests ◽  
Cold Intolerance ◽  
X Ray ◽  
Complete Surgical Excision ◽  
Large Bone ◽  
Paroxysmal Pain

Abstract Glomus tumor (GT) is a rare, benign neoplasm of the glomus apparatus. Being most common in the subungual region, it often misdiagnosed with dermatological conditions. Severe tenderness, paroxysmal pain and cold intolerance symptomatically denote GT. Clinical tests such as Love’s pin test and Hildreth’s test assist in diagnosing the disease. X-ray, ultrasonography and magnetic resonance imaging can confirm the severity of the lesion. Complete surgical excision is the only treatment available for these subcutaneous nodules. A middle-aged male with a hand pain, who misdiagnosed for dermatitis over 15-year period, has identified as having a large bone-boring GT. Awareness of GT among healthcare professionals is a must to increase the quality of life of patients.

scholarly journals Hemangioma of the Tympanic Membrane: A Case and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Emilio Mevio ◽  
Marco Cazzaniga ◽  
Mauro Mullace ◽  
Donatella Paolotti
Keyword(s):  
Tympanic Membrane ◽  
External Auditory Canal ◽  
Case Reports ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Bony Canal ◽  
Sixth Decade

Hemangiomas of the external auditory canal, involving the posterior bony canal and the adjacent tympanic membrane, although rare, are considered a specific disease entity of the human external auditory canal. Hemangiomas of the tympanic membrane and/or external auditory canal are rare entities; there are 16 previous case reports in the literature. It is a benign vascular tumor. It generally occurs in males in the sixth decade of life. Total surgical excision with or without tympanic membrane grafting appears to be effective in the removal of this benign neoplasm. The authors present a case and a review of the literature discussing diagnostic and surgical approaches.

Glomus Tumor on the Volar Aspect of the Distal Phalanx, an Unusual Presentation for an Unusual Neoplasm‎: A Case Report

2020 ◽  
Author(s):  
Sam Hajialiloo-Sami ◽  
Amir Mohsen Khorrami ◽  
Sajad Noori
Keyword(s):  
Glomus Tumor ◽  
Ring Finger ◽  
Surgical Excision ◽  
Distal Phalanx ◽  
Cold Sensitivity ◽  
Diagnostic Features ◽  
Glomus Tumors ◽  
Delay In Diagnosis ◽  
Volar Aspect ◽  
Histologic Evaluation

Background: In the fingertips, the glomus tumors usually involve the subungual areas with typical triad symptoms including pain, tenderness to palpation, and cold sensitivity. The glomus tumor of volar aspect of digits is rare.   Case Presentation: A case of glomus tumor was presented at the volar side of the distal phalanx of the ring finger of a 52-year-old woman. The tumor was painful and tender to palpation, yet insensitive to cold. The atypical location and insensitivity to cold led to a 4-year delay in diagnosis. After the surgical excision of the lesion, the extracted mass was sent for histologic evaluation and the diagnosis of glomus tumor was confirmed. One-year follow-up of the patient was event-free.   Conclusions: Atypical glomus tumor should be considered in the differential diagnosis of finger pain, even in the absence of characteristic diagnostic features.

Lower Extremity Glomus Tumors: Comprehensive Review for Surgeons

Vascular ◽  
2008 ◽  
Vol 16 (6) ◽  
pp. 326-332 ◽  
Author(s):  
Leon R. Luis ◽  
Goshima R. Kaoru ◽  
Psalms B. Shemuel ◽  
Joseph L. Mills
Keyword(s):  
Lower Extremity ◽  
Glomus Tumor ◽  
Symptomatic Relief ◽  
Delayed Diagnosis ◽  
Surgical Excision ◽  
Disease Entity ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Glomus Tumors ◽  
Diagnosis And Management

The diagnosis of a lower extremity glomus tumor (GT) is often delayed owing to the lack of awareness and low level of suspicion by the treating physician. GT is thought to arise from cutaneous arteriovenous connections, often involving the nail beds. The unusual location of the lower extremity often leads to missed or delayed diagnosis and management. Surgical excision of GT is often curative and provides significant symptomatic relief. There is a paucity of information in regard to GT in general, especially among vascular surgeons. The aim of this report is to make the surgical community more aware of this disease entity based on the analysis of our own experience and review of the literature.

scholarly journals Vulvar Hemangioma: Case Report

2018 ◽  
Vol 40 (06) ◽  
pp. 369-371
Author(s):  
Janine Silva ◽  
Emily Calife ◽  
João Cabral ◽  
Hildemárzio Andrade ◽  
Ana Gonçalves
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Female Patient ◽  
Surgical Approach ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Genital Ulcer ◽  
Emotional Disability ◽  
The Past ◽  
History Of

AbstractHemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

scholarly journals Unusual Glomus Tumor of the Penis

2015 ◽  
Vol 9 (3) ◽  
pp. 113-118 ◽  
Author(s):  
Gautam Dagur ◽  
Kelly Warren ◽  
Yimei Miao ◽  
Navjot Singh ◽  
Yiji Suh ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Spindle Cell ◽  
Glomus Tumor ◽  
Treatment Options ◽  
Surgical Excision ◽  
Primary Objective ◽  
Inclusion Criteria ◽  
Glomus Tumors ◽  
Clinical Presentations ◽  
Epithelial Lesions

Introduction: Glomus tumors are benign neoplasms commonly found in subungual regions of the extremities and rarely located in the penis. Misdiagnosis of glomus tumors is common; therefore, symptoms and clinical presentations should be reviewed. Objective: The primary objective of this review article is to emphasize the pathogenesis, pathology, clinical presentation, symptoms, diagnosis, and treatment methods of glomus tumors in order to better identify and manage the condition. Materials and Methods: Research was conducted using PubMed/Medline. The inclusion criteria required glomus tumor to be present on the penis. Results: Glomus tumors, which appear as symptomatic or asymptomatic lesions, are attributed to dispersion grouping of neoplastic or non-neoplastic lesions in a particular area. Conclusion: Differential diagnosis of glomus tumors includes hemangiomas, neurofibromatosis, epithelial lesions, and spindle-cell lesions. Physical examination and histological findings should be used for diagnosis. Treatment options can be either conservative or invasive, in which the patient undergoes surgical excision.

scholarly journals Synchronous subungual glomus tumors in the same finger

2012 ◽  
Vol 87 (3) ◽  
pp. 475-476 ◽  
Author(s):  
Nilton Di Chiacchio ◽  
Walter Refkalefsky Loureiro ◽  
Nilton Gioia Di Chiacchio ◽  
Diego Leonardo Bet
Keyword(s):  
Rare Case ◽  
Glomus Tumor ◽  
Benign Neoplasm ◽  
Glomus Tumors ◽  
Nail Bed ◽  
Glomus Cells

The glomus tumor is an uncommon benign neoplasm of glomus cells. In the majority of the cases it is presented as a solitary painful papule in the subungual region. We report a rare case of a patient with two individual synchronous glomus tumors under the nail bed of the same finger.

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