Volume 9, Issue 3 (8-2022)
JROS 2022, 9(3): 135-140 |
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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
URL: http://jros.iums.ac.ir/article-1-2222-en.html
Farid Najdmazhar1 
, Hooman Shariatzadeh1 , Hosein Hamadiyan2 , Seyed Morteza Motevallian Sajadi2 , Behnam Jafari2 , Reza Torab 1
, Hooman Shariatzadeh1 , Hosein Hamadiyan2 , Seyed Morteza Motevallian Sajadi2 , Behnam Jafari2 , Reza Torab 1
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.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (191 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.
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.
Type of Study: Research Article |
Subject:
Hand surgery / Elbow
Received: 2022/02/25 | Accepted: 2022/05/12 | Published: 2022/08/1
Received: 2022/02/25 | Accepted: 2022/05/12 | Published: 2022/08/1
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