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Where is the Lesion? Glomus Tumours of the Hand

  • Tang, Chris Yuk Kwan (Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital) ;
  • Tipoe, Timothy (Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital) ;
  • Fung, Boris (Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital)
  • Received : 2013.04.29
  • Accepted : 2013.05.07
  • Published : 2013.09.15

Abstract

Glomus tumours are vascular hamartomas that are commonly found in the hand, particularly the subungual region. They appear as solitary or multiple tumours, and often present as a bluish discoloration of the nail plate. Different diagnostic tests are outlined, as well as imaging studies such as magnetic resonance imaging and ultrasound. Misdiagnosis and delayed diagnosis of these tumours are common, while a familial tendency is a potential risk factor but not yet proven. Complete surgical excision often results in complete symptomatic relief, while recurrences are largely due to incomplete excision or the growth of a new glomus tumour. This article aims to review the key aspects of glomus tumours and provide a diagnostic algorithm so that the lesion can be recognized and treated earlier.

Keywords

References

  1. Shin DK, Kim MS, Kim SW, et al. A painful glomus tumor on the pulp of the distal phalanx. J Korean Neurosurg Soc 2010;48:185-7. https://doi.org/10.3340/jkns.2010.48.2.185
  2. Kim DH. Glomus tumor of the finger tip and MRI appearance. Iowa Orthop J 1999;19:136-8.
  3. Samaniego E, Crespo A, Sanz A. Key diagnostic features and treatment of subungual glomus tumor. Actas Dermosifiliogr 2009;100:875-82. https://doi.org/10.1016/S0001-7310(09)72916-3
  4. Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor: analysis of 75 cases. Dermatol Surg 2010;36:1396-400. https://doi.org/10.1111/j.1524-4725.2010.01647.x
  5. Netscher DT, Aburto J, Koepplinger M. Subungual glomus tumor. J Hand Surg Am 2012;37:821-3.
  6. Takemura N, Fujii N, Tanaka T. Subungual glomus tumor diagnosis based on imaging. J Dermatol 2006;33:389-93. https://doi.org/10.1111/j.1346-8138.2006.00092.x
  7. Glazebrook KN, Laundre BJ, Schiefer TK, et al. Imaging features of glomus tumors. Skeletal Radiol 2011;40:855-62. https://doi.org/10.1007/s00256-010-1067-1
  8. Tuncali D, Yilmaz AC, Terzioglu A, et al. Multiple occurrences of different histologic types of the glomus tumor. J Hand Surg Am 2005;30:161-4. https://doi.org/10.1016/j.jhsa.2004.09.008
  9. Anakwe RE, McEachan JE. A glomus tumour beneath the painful unpolished nail. CMAJ 2010;182:1329. https://doi.org/10.1503/cmaj.091645
  10. Carroll RE, Berman AT. Glomus tumors of the hand: review of the literature and report on twenty-eight cases. J Bone Joint Surg Am 1972;54:691-703. https://doi.org/10.2106/00004623-197254040-00001
  11. Matsunaga A, Ochiai T, Abe I, et al. Subungual glomus tumour: evaluation of ultrasound imaging in preoperative assessment. Eur J Dermatol 2007;17:67-9.
  12. Lee IJ, Park DH, Park MC, et al. Subungual glomus tumours of the hand: diagnosis and outcome of the transungual approach. J Hand Surg Eur Vol 2009;34:685-8.
  13. Al-Qattan MM, Al-Namla A, Al-Thunayan A, et al. Magnetic resonance imaging in the diagnosis of glomus tumours of the hand. J Hand Surg Br 2005;30:535-40. https://doi.org/10.1016/j.jhsb.2005.06.009
  14. Kuru I, Oktar SO, Maralcan G, et al. Familial glomus tumor encountered in the same finger and localization in four family members. Acta Orthop Traumatol Turc 2005;39:365-8.

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