Glomus Tumor of the Hand

Abstract

BackgroundGlomus tumors were first described by Wood in 1812 as painful subcutaneous tubercles. It is an uncommon benign neoplasm involving the glomus body, an apparatus that involves in thermoregulation of cutaneous microvasculature. Glomus tumor constitutes 1%-5% of all hand tumors. It usually occurs at the subungual region and more commonly in aged women. Its classical clinical triad consists of pain, tenderness and temperature intolerance, especially cold sensitivity. This study reviews 15 cases of glomus tumor which were analyzed according to its anatomic location, surgical approach and histologic findings.MethodsFifteen patients with subungual glomus tumors of the hand operated on between January 2006 and March 2013, were retrospectively reviewed. Patients were evaluated preoperatively with standard physical examination including ice cube test and Love's test. Diagnostic imaging consisted of ultrasonography, computed tomography, and magnetic resonance imaging. All procedures were performed with tourniquet control under local anesthesia. Eleven patients underwent excision using the transungual approach, 3 patients using the volar approach and 1 patient using the lateral subperiosteal approach.ResultsTotal of 15 cases were reviewed. 11 tumors were located in the nail bed, 3 in the volar pulp and 1 in the radial aspect of the finger tip. After complete excision, patients remained asymptomatic in the immediate postoperative period. In the long term follow up, patients exhibited excellent cosmetic results with no recurrence.ConclusionsAccurate diagnosis should be made by physical, radiologic and pathologic examinations. Preoperative localization and complete extirpation is essential in preventing recurrence and subsequent nail deformity.

Glomus tumours of the hand: Review of literature

“…It is not uncommon that patients are easily misdiagnosed with conditions like neuropathic complaints, arthritis, or neuralgia and may undergo unsuitable treatment including sympathetic ganglionectomy or radicotomy. 20 Moreover, its rarity along with lack of suspicion during examination of the patient with impalpable glomus tumour may explain the long delay to reach the correct diagnosis. 16 …”

Glomus Tumour: Case Report

“…6 Normal glomus cisimciği kontraktil nöromiyoarteriyel reseptörleriyle kan basıncı ve ısı regülasyonunda rol almaktadır. 7 GT en sık 30-50 yaşları arasında görülmekte-dir. [8][9][10][11][12] Kadın predominansı görülmektedir.…”

“…[8][9][10][11][12] Kadın predominansı görülmektedir. 2,7,12 Kadın-erkek oranı 2:1 olarak bildirilmiştir. 12 Tümör %75 oranında ellerde yerleşim göstermektedir, bunun da %50-90'ı subungal lokalizasyonludur.…”

Love sign's love for glomus tumor

“…Woods, in 1892, was the first to describe glomus tumor as painful subcutaneous tubercles [2]. Masson, in 1924 was the first to describe its pathological findings, and in 1972, Martorrel was the one who classified it as a glomangioma or glomus tumor [2][3][4]. Neuro- myoarterial glomus or the glomus body is found in the reticular layer of the dermis.…”

“…Discussion Glomus tumors are rare, painful, benign tumors arising from the glomus body or neuromyoarterial glomus. Woods, in 1892, was the first to describe glomus tumor as painful subcutaneous tubercles [2]. Masson, in 1924 was the first to describe its pathological findings, and in 1972, Martorrel was the one who classified it as a glomangioma or glomus tumor [2][3][4].…”