Glomus Tumour: a retrospective review of 15 years. experience in a single institution
Glomus tumours (GT), neoplasms of the glomus body comprise 4.5% of upper limb tumours. Seventy-five per cent of these occur in the hand, and most are subungual (50%). We performed a literature review and retrospective search of histopathologically confirmed GT seen from 1995 to 2009. Fifteen patie...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | en |
| Published: |
Malaysian Orthopaedic Association
2011
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| Subjects: | |
| Online Access: | http://eprints.um.edu.my/2514/1/Glomus_Tumour.pdf http://eprints.um.edu.my/2514/ http://www.morthoj.org/2011v5n3/Glomus_Tumour.pdf |
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| Summary: | Glomus tumours (GT), neoplasms of the glomus body comprise 4.5% of upper limb tumours. Seventy-five per cent of these occur in the hand, and most are subungual (50%). We performed a literature review and retrospective search of
histopathologically confirmed GT seen from 1995 to 2009.
Fifteen patients were identified, with an average age of 49.6 years. Eight were in the hand, 2 in the upper limb, 2 lower limb and 3 in the ear. Eighty-six per cent presented with pain and 50% underwent radiological investigation. Most
diagnoses followed biopsy findings. Surgical excision
resulted in a recurrence rate of 13%. The average time to
diagnosis was 3.3 years. The average duration of symptoms
was 7 to 11 years with an average of 2 to 3 consultations pre-diagnosis. MRI remains the most useful imaging modality
(82 to 90% sensitivity). Excision biopsy is the most common
treatment. Greater awareness is needed for quicker diagnosis. |
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