Factors affecting surgical outcomes of digital glomus tumour: a multicentre study

The Journal of Hand Surgery, European Volume
Young Jun KimJae Hoon Lee

Abstract

This was a retrospective, multicentre study using data from four medical institutions of 72 patients of histologically confirmed digital glomus tumour removed by surgical excision. Mean follow-up period was 5.4 years. We investigated clinical outcomes and analysed the relationship between primary glomus tumour size, radiographic bony erosion, anatomic location, surgical approach, and surgical method as risk factors for recurrence. Complications and recurrence rate according to surgical approach and surgical method were compared. At final follow-up, recurrence was observed in five (6.9%) patients. Postoperative complications were observed in nine (12.5%), with two patients having numbness of fingertips, and seven having nail deformities. In a group with pulp lesions for which a direct approach was used and in a surgical loupe group, recurrence rates were high, however, this was not statistically significant. A nail-sparing approach and microscopic excision did not lower the incidence of nail deformities. No risk factors that significantly predicted recurrence were found. IV.

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Citations

Oct 5, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Edouard F H ReindersMarcel C Pasch
Aug 16, 2019·The Journal of Hand Surgery, European Volume·Ghada AsmarMarc-Olivier Falcone
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Oct 15, 2021·The Journal of Hand Surgery, European Volume·Shehab JabirFortune Iwuagwu

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Methods Mentioned

BETA
surgical microscopy
dissection

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