CLINICAL ANALYSIS OF DIAGNOSIS AND TREATMENT OF ACRAL GLOMUS TUMOR_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WEIDaiqing ,  XIANGZhou , YANGJing , HUANGFuguo , CENShiqiang , ZHONGGang , ZHANGShiqiong

Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding?author：

XIANGZhou, Email: xiangzhou15@hotmail.com

Keywords：

Acral glomus tumor; High-frequency color doppler ultrasonography; Diagnosis; Treatment

DOI：

10.7507/1002-1892.20140112

Video：

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Objective To summarize the characteristics, diagnosis, and treatment of acral glomus tumor in order to improve the level of diagnosis and treatment. Methods The clinical data from 70 cases of acral glomus tumor treated between June 2004 and October 2013 were analyzed retrospectively. There were 11 males and 59 females with an average age of 41 years (range, 18-67 years). The disease duration ranged from 4 months to 30 years, with a median duration of 5 years. Sixty-nine cases had solitary tumors and only 1 patient had more than 1 lesion. The tumors were located on the finger in 66 patients (67 fingers) and the toe in 4 patients (4 toes); among them, the subungual glomus tumor happened in 44 patients (44 fingers and 1 toe). All patients suffered from paroxysmal pain and pinpoint pain with positive Love's pin test, and 29 patients (28 fingers and 1 toe) had positive cold sensitivity. Fifty-two patients (48 fingers and 4 toes) were found to have glomus tumor according to the high-frequency color doppler ultrasonography. X-ray films revealed depression on the phalanx in 16 patients (14 fingers and 2 toes). Results No patient suffered from delayed incision healing, and infection after surgical treatment. The follow-up time was from 1 month to 9 years and 2 months with a median follow-up time of 20 months. The clinical symptoms disappeared after surgery with no dysfunction or recurrence. Conclusion The diagnosis of acral glomus tumor is easy because of the typical symptoms:paroxysmal pain, pinpoint pain, and cold sensitivity. High-frequency color doppler ultrasonography may play an important role in the preoperative assessment of glomus tumors with accurate localization.

Citation： WEIDaiqing, XIANGZhou, YANGJing, HUANGFuguo, CENShiqiang, ZHONGGang, ZHANGShiqiong. CLINICAL ANALYSIS OF DIAGNOSIS AND TREATMENT OF ACRAL GLOMUS TUMOR. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 499-502. doi: 10.7507/1002-1892.20140112 Copy

1.	Folpe AL, Fanburg-Smith JC, Miettinen M, et al. Atypical and malignant glomus tumors:analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol, 2001, 25(1):1-12.
2.	Kale SS, Rao VK, Bentz ML. Glomus tumor of the index finger. J Craniofac Surg, 2006, 17(4):801-804.
3.	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(4):691-703.
4.	Gombos Z, Zhang PJ. Glomus tumor. Arch Pathol Lab Med, 2008, 132(9):1448-1452.
5.	Van Geertruyden J, Lorea P, Goldschmidt D, et al. Glomus tumours of the hand. A retrospective study of 51 cases. J Hand Surg (Br), 1996, 21(2):257-260.
6.	Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor:analysis of 75 cases. Dermatol Surg, 2010, 36(9):1396-1400.
7.	Ozdemir O, Co?kunol E, Ozalp T, et al. Glomus tumors of the finger:a report on 60 cases. Acta Orthop Traumatol Turc, 2003, 37(3):244-248.
8.	張君, 魏壯, 李慶霖, 等. 血管球瘤80例臨床分析及病因探討. 中華手外科雜志, 2003, 19(4):238-239.
9.	張宗康, 趙新, 勞杰. 71例血管球瘤的臨床分析. 中華手外科雜志, 2007, 23(3):135-137.
10.	Bhaskaranand K, Navadgi BC. Glomus tumour of the hand. J Hand Surg (Br), 2002, 27(3):229-231.
11.	Drapé JL, Idy-Peretti I, Goettmann S, et al. Subungual glomus tumors:evaluation with MR imaging. Radiology, 1995, 195(2):507-515.
12.	Glazebrook KN, Laundre BJ, Schiefer TK, et al. Imaging features of glomus tumors. Skeletal Radiol, 2011, 40(7):855-862.
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(5):535-540.
14.	李北平, 王華, 梁南南. 高頻探頭及彩色多普勒超聲對血管球瘤的診斷價值. 中國超聲醫學雜志, 2001, 17(2):122-123.
15.	Wortsman X, Jemec GB. Role of high-variable frequency ultrasound in preoperative diagnosis of glomus tumors:a pilot study. Am J Clin Dermatol, 2009, 10(1):23-27.
16.	Chen SH, Chen YL, Cheng MH, et al. The use of ultrasonography in preoperative localization of digital glomus tumors. Plast Reconstr Surg, 2003, 112(1):115-120.
17.	陳濤, 袁珍, 李淳, 等. 超聲對手部血管球瘤的診斷價值. 中國超聲診斷雜志, 2006, 7(11):812-814.
18.	陳濤, 袁珍, 李淳, 等. 高頻超聲及彩色多普勒血流顯像對肢體血管球瘤的診斷價值. 中國超聲醫學雜志, 2007, 23(7):525-527.
19.	McDermott EM, Weiss AP. Glomus tumors. J Hand Surg (Am), 2006, 31(8):1397-1400.
20.	徐林, 張成中, 李黎明, 等. 指甲活頁開窗顯微外科手術切除甲下血管球瘤. 中華顯微外科雜志, 2009, 32(3):246-247.
21.	Samaniego E, Crespo A, Sanz A. Key diagnostic features and treatment of subungual glomus tumor. Actas Dermosifiliogr, 2009, 100(10):875-882.
22.	Vasisht B, Watson HK, Joseph E, et al. Digital glomus tumors:a 29-year experience with a lateral subperiosteal approach. Plast Reconstr Surg, 2004, 114(6):1486-1489.
23.	Tehrani H, Shah D, Sidhu S, et al. Treatment of recurrent glomus tumor using Mohs surgery. Dermatol Surg, 2012, 38(3):502-503.

1. Folpe AL, Fanburg-Smith JC, Miettinen M, et al. Atypical and malignant glomus tumors:analysis of 52 cases, with a proposal for the reclassification of glomus tumors. Am J Surg Pathol, 2001, 25(1):1-12.
2. Kale SS, Rao VK, Bentz ML. Glomus tumor of the index finger. J Craniofac Surg, 2006, 17(4):801-804.
3. 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(4):691-703.
4. Gombos Z, Zhang PJ. Glomus tumor. Arch Pathol Lab Med, 2008, 132(9):1448-1452.
5. Van Geertruyden J, Lorea P, Goldschmidt D, et al. Glomus tumours of the hand. A retrospective study of 51 cases. J Hand Surg (Br), 1996, 21(2):257-260.
6. Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor:analysis of 75 cases. Dermatol Surg, 2010, 36(9):1396-1400.
7. Ozdemir O, Co?kunol E, Ozalp T, et al. Glomus tumors of the finger:a report on 60 cases. Acta Orthop Traumatol Turc, 2003, 37(3):244-248.
8. 張君, 魏壯, 李慶霖, 等. 血管球瘤80例臨床分析及病因探討. 中華手外科雜志, 2003, 19(4):238-239.
9. 張宗康, 趙新, 勞杰. 71例血管球瘤的臨床分析. 中華手外科雜志, 2007, 23(3):135-137.
10. Bhaskaranand K, Navadgi BC. Glomus tumour of the hand. J Hand Surg (Br), 2002, 27(3):229-231.
11. Drapé JL, Idy-Peretti I, Goettmann S, et al. Subungual glomus tumors:evaluation with MR imaging. Radiology, 1995, 195(2):507-515.
12. Glazebrook KN, Laundre BJ, Schiefer TK, et al. Imaging features of glomus tumors. Skeletal Radiol, 2011, 40(7):855-862.
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(5):535-540.
14. 李北平, 王華, 梁南南. 高頻探頭及彩色多普勒超聲對血管球瘤的診斷價值. 中國超聲醫學雜志, 2001, 17(2):122-123.
15. Wortsman X, Jemec GB. Role of high-variable frequency ultrasound in preoperative diagnosis of glomus tumors:a pilot study. Am J Clin Dermatol, 2009, 10(1):23-27.
16. Chen SH, Chen YL, Cheng MH, et al. The use of ultrasonography in preoperative localization of digital glomus tumors. Plast Reconstr Surg, 2003, 112(1):115-120.
17. 陳濤, 袁珍, 李淳, 等. 超聲對手部血管球瘤的診斷價值. 中國超聲診斷雜志, 2006, 7(11):812-814.
18. 陳濤, 袁珍, 李淳, 等. 高頻超聲及彩色多普勒血流顯像對肢體血管球瘤的診斷價值. 中國超聲醫學雜志, 2007, 23(7):525-527.
19. McDermott EM, Weiss AP. Glomus tumors. J Hand Surg (Am), 2006, 31(8):1397-1400.
20. 徐林, 張成中, 李黎明, 等. 指甲活頁開窗顯微外科手術切除甲下血管球瘤. 中華顯微外科雜志, 2009, 32(3):246-247.
21. Samaniego E, Crespo A, Sanz A. Key diagnostic features and treatment of subungual glomus tumor. Actas Dermosifiliogr, 2009, 100(10):875-882.
22. Vasisht B, Watson HK, Joseph E, et al. Digital glomus tumors:a 29-year experience with a lateral subperiosteal approach. Plast Reconstr Surg, 2004, 114(6):1486-1489.
23. Tehrani H, Shah D, Sidhu S, et al. Treatment of recurrent glomus tumor using Mohs surgery. Dermatol Surg, 2012, 38(3):502-503.

Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL ANALYSIS OF DIAGNOSIS AND TREATMENT OF ACRAL GLOMUS TUMOR

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