Clinical Features and Treatment of Glomus Tumor of the Finger

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  • SAITO Ikuo
    Department of Orthopaedic Surgery, Tokai University Hachioji Hospital
  • KOBAYASHI Yuka
    Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine
  • ISHII Takayuki
    Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine
  • SHIMIZU Ayuko
    Department of Orthopaedic Surgery, Tokai University Oiso Hospital
  • MOCHIDA Joji
    Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine

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Other Title
  • 手指グロムス腫瘍の治療経験

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Objective : The objective of this study was to evaluate the clinical features and treatment outcomes of tumors of the finger treated by surgery.<BR>Materials and Methods : We retrospectively analyzed cases of digital tumors that were treated with surgery between 2003 and 2012 at our hospital.<BR>Results : The patient cohort included 24 women and 11 men. The mean age at diagnosis was 46.1 years, and the average diagnostic delay was 13 years. The most common symptoms were pain (97%), which intensified upon exposure to cold in 23% of patients, and nail deformities (17%). The tumors were subungual in 27 cases, were located in the pulp in 7 cases and extended from the subungual area to the volar aspect of the distal phalanx in 1 case. The tumors varied between 0.1 and 10 mm (mean 4.2 mm) in size. All surgical procedures were performed under microscopic guidance and all patients experienced pain relief after surgery.<BR> Conclusion : Glomus tumors can be difficult to diagnose because of non-specific and obscure clinical signs and their small size. Therefore, preoperative imaging might help determine the extent of the lesion, and microsurgery might be a suitable treatment option.

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