Outcome of microscopic excision of a subungual glomus tumor: a 12-year evaluation

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Hsiao-Peng HuangShyi-Gen Chen

Abstract

Glomus tumors are rare benign neurovascular tumors, up to 75% of which occur in the hand, mainly the subungual area. Local recurrence and nail deformity are commonly seen if tumor excision is not performed completely or properly. This study was designed to assess the long-term efficacy of microscopic excision of subungual glomus tumors. This retrospective analysis reviewed a total of 22 patients diagnosed with glomus tumors who underwent microscopic surgical excision at a single medical center over a 12-year period (2002-2014). Outcomes were analyzed based on symptom relief, recurrence rate, finger function, nail esthetics, and patient satisfaction. With a mean follow-up period of 48.4 months, neither recurrence nor postexcision nail deformity developed in any patient. Patient satisfaction was rated as "good" in 86.3% of patients (19/22). Microscopic surgical excision enables the surgeon to completely remove a glomus tumor while minimizing damage to the nail unit, thereby resulting in significantly decreased recurrence and nail deformity. In this study, an incision made according to the anatomic location provided an easy approach and the best visualization. Patients' finger function was successfully restored, nail esthetic outc...Continue Reading

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Citations

May 28, 2019·Journal of Medicine and Life·Anca Bordianu, Dragos Zamfirescu
Jul 6, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Julia O Baltz, Nathaniel J Jellinek
Aug 16, 2019·The Journal of Hand Surgery, European Volume·Ghada AsmarMarc-Olivier Falcone
May 15, 2018·The Journal of Hand Surgery, European Volume·Young Jun KimJae Hoon Lee
Feb 16, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Yi-Hsiang YuShang-Hung Lin
Jun 12, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Glaysson T TavaresNilton Di Chiacchio

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