مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Information Journal Paper

Title

Epidemiologic Characteristics, Presentation and Management Outcomes of Glomus Tumor: A Retrospective Study

Author(s)

 Farid Najdmazhar Farid Najdmazhar | Hooman Shariatzadeh Hooman Shariatzadeh | Hosein Hamadiyan Hosein Hamadiyan | Seyed Morteza Motevallian Sajadi Seyed Morteza Motevallian Sajadi | Behnam Jafari Behnam Jafari | Reza Torab Reza Torab | Issue Writer Certificate 

Pages

  135-140

Abstract

 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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