Volume 9, Issue 3 (8-2022)                   JROS 2022, 9(3): 135-140 | Back to browse issues page


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Najdmazhar F, Shariatzadeh H, Hamadiyan H, Motevallian Sajadi S M, Jafari B, Torab R. Epidemiologic Characteristics, Presentation and Management Outcomes of Glomus Tumor: A Retrospective Study. JROS 2022; 9 (3) :135-140
URL: http://jros.iums.ac.ir/article-1-2222-en.html
1- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (139 Views)
Background: Glomus tumors are benign perivascular neoplasms generally located in distal limbs, particularly in the nail bed, which present a classic triad including pain, tenderness, and cold hypersensitivity. This study described the epidemiologic characteristics, clinical presentation, diagnosis, management, and post-operative complications of glomus tumors.
Methods: Medical profiles of patients with a glomus tumor who underwent surgical excision at Shafa Yahyaeian Hospital, Tehran, Iran, between 2009 and 2021, were retrospectively reviewed. ‎A senior hand surgeon at the same orthopedic center managed all patients with surgical excision. ‎The collected information included demographic characteristics, clinical presentation, tumor ‎characteristics, recurrence, and post-operative complications.‎
Results: The study included 38 females (76%) and 12 males (24%), with a mean age of 38.9±14.3 years (range: 16-75 years). The symptoms at presentation included pain (100%), local tenderness (98%), and ‎cold sensitivity (66%). In all patients, Hildreth’s test was positive. The mean symptom duration was 51.2±53.7 ‎months. Of 50 cases, 47 lesions (94%) were in the fingers. The subungual region was the most frequent site of finger involvement (n=35, 74.5%). At a mean follow-up of 6.4±4.5 years, tumors recurred in two patients (4%). Seven patients (14%) had surgical complications, including persistent pain (n=2), numbness (n=2), paresthesia (n=1), ‎limited range of motion (n=1), and nail separation (n=1).‎
Conclusion: Glomus tumors present as painful lesions, most commonly in the fingertips, and are generally associated with long ‎symptom duration. The lesions are more common in females. ‎Surgical excision is an efficient treatment for the local control of glomus tumors. 
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Type of Study: Research Article | Subject: Hand surgery / Elbow
Received: 2022/02/25 | Accepted: 2022/05/12 | Published: 2022/08/1

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