@article{10.11648/j.ass.20210901.13,
  author = {Nakul Kumar Datta and Ashraful Islam and Palash Kumar Aish and Monisha Datta and Suvendu Kumar Banik},
  title = {Management of Sub-ungual Glomus Tumor of the Finger Tips},
  journal = {Advances in Surgical Sciences},
  volume = {9},
  number = {1},
  pages = {10-14},
  doi = {10.11648/j.ass.20210901.13},
  url = {https://doi.org/10.11648/j.ass.20210901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20210901.13},
  abstract = {Background: Glomus tumors present as painful lesions especially in colder weather, most commonly at finger tips. Glomus tumors are hamartomas that account for 1% to 5% of all soft tissue tumors of the hand. These tumors are usually benign. High-resolution magnetingresonence imaging (HR-MRI) is useful in the diagnosis of patients with subungualglomus tumor, excellent diagnostic informationin detecting the occult lesion. Objective: present study was aimed at delineatingcommon presentation and long term treatment outcome. Materials & methods: This prospective study was done from January 2004 to july 2019. We found 30patients diagnosed as having sub-ungualglomus tumorsin finger tips and thumbover 15 yearsperiod and which were operated in hand unit in the Department of orthopaedic surgery, Bangabandhu Sheikh Mujib Medical university (BSMMU) Dhaka, Bangladesh. The data were collected included demographics, presenting symptoms, duration, physical examination, treatment and recurrence. Results: The mean duration of symptoms before presentation was 3.2 years (range 6 months to 15 yrs) Mean age at presentation was 33.7 years (range 20 to 65 yrs.) andfemale to male ratio 20:10. Thirteen (13) patientshad left hand involvement among them ring finger were 06, index finger were 04, middle finger were 02, and thumb 1 and 17 patients had right hand involvement amongthem ring finger were 06, index finger were 05, middle finger were 03 and little finger were 03. Clinical and radiological assessment were made preoperatively. All the lesionsinvolvedthe sub- ungual region. The mean size of the lesion was 3.5 mm (range 2.5 to 10mm). All the patients confirmed by histopathological examination. No recurrence in this study and nail change were 03. Transungual approachto be simple procedure which can reduce the chances of recurrence by allowing examination of entiresub ungual region. Nail deformities are minimal if adequate care is taken during surgery. Conclusion: The diagnosis of glomus tumor is largely clinical butHR-MRI is also helpful in diagnosis of patient with sub- ungualglomus tumor. Complete surgical excision offers the only prospect of complete cure. Early diagnosis of glomus tumor is important to avoid lengthy treatment delays.},
 year = {2021}
}

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TY  - JOUR
T1  - Management of Sub-ungual Glomus Tumor of the Finger Tips
AU  - Nakul Kumar Datta
AU  - Ashraful Islam
AU  - Palash Kumar Aish
AU  - Monisha Datta
AU  - Suvendu Kumar Banik
Y1  - 2021/05/27
PY  - 2021
N1  - https://doi.org/10.11648/j.ass.20210901.13
DO  - 10.11648/j.ass.20210901.13
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 10
EP  - 14
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20210901.13
AB  - Background: Glomus tumors present as painful lesions especially in colder weather, most commonly at finger tips. Glomus tumors are hamartomas that account for 1% to 5% of all soft tissue tumors of the hand. These tumors are usually benign. High-resolution magnetingresonence imaging (HR-MRI) is useful in the diagnosis of patients with subungualglomus tumor, excellent diagnostic informationin detecting the occult lesion. Objective: present study was aimed at delineatingcommon presentation and long term treatment outcome. Materials & methods: This prospective study was done from January 2004 to july 2019. We found 30patients diagnosed as having sub-ungualglomus tumorsin finger tips and thumbover 15 yearsperiod and which were operated in hand unit in the Department of orthopaedic surgery, Bangabandhu Sheikh Mujib Medical university (BSMMU) Dhaka, Bangladesh. The data were collected included demographics, presenting symptoms, duration, physical examination, treatment and recurrence. Results: The mean duration of symptoms before presentation was 3.2 years (range 6 months to 15 yrs) Mean age at presentation was 33.7 years (range 20 to 65 yrs.) andfemale to male ratio 20:10. Thirteen (13) patientshad left hand involvement among them ring finger were 06, index finger were 04, middle finger were 02, and thumb 1 and 17 patients had right hand involvement amongthem ring finger were 06, index finger were 05, middle finger were 03 and little finger were 03. Clinical and radiological assessment were made preoperatively. All the lesionsinvolvedthe sub- ungual region. The mean size of the lesion was 3.5 mm (range 2.5 to 10mm). All the patients confirmed by histopathological examination. No recurrence in this study and nail change were 03. Transungual approachto be simple procedure which can reduce the chances of recurrence by allowing examination of entiresub ungual region. Nail deformities are minimal if adequate care is taken during surgery. Conclusion: The diagnosis of glomus tumor is largely clinical butHR-MRI is also helpful in diagnosis of patient with sub- ungualglomus tumor. Complete surgical excision offers the only prospect of complete cure. Early diagnosis of glomus tumor is important to avoid lengthy treatment delays.
VL  - 9
IS  - 1
ER  - 

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