Journal Information
Vol. 100. Issue 10.
Pages 875-882 (December 2009)
Share
Share
Download PDF
More article options
Vol. 100. Issue 10.
Pages 875-882 (December 2009)
Practical dermatology
Full text access
Key Diagnostic Features and Treatment of Subungual Glomus Tumor
Claves del Diagnóstico y Tratamiento del tumor Glómico Sublingual
Visits
12677
E. Samaniegoa,
Corresponding author
eliasamaniego@yahoo.es

Correspondence: Plaza del Hospital civil, s/n, 29007 Málaga, Spain.
, A. Crespoa, A. Sanzb
a Servicio de Dermatología, Complejo Hospitalario Carlos Haya, Málaga, Spain
b Servicio de Anatomía Patológica, Complejo Hospitalario Carlos Haya, Málaga, Spain
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

Glomus tumor was first described by Wood in 1812 and named as such by Masson in 1924. It is a rare benign vascular tumor of the neuromyoarterial glomus. The triad of cold intolerance, intense paroxysmal pain, and well-defined site of pain is characteristic of the tumor. Approximately 80% of lesions are found on the upper limbs, mostly under the nails. Between 2005 and 2008, 7 patients with this disease were seen in our department. Diagnosis was confirmed by histology after excision. We review the clinical features, complementary diagnostic tests, and main surgical techniques described..

Key words:
glomus tumor
diagnosis
surgical treatment
nail dystrophy
Resumen

El tumor glómico fue descrito por primera vez por Wood en 1812, siendo Masson quien le dio su nombre en 1924. Se trata de un tumor vascular benigno raro derivado del cuerpo glómico neuromioarterial. Clínicamente es característica la tríada de sensibilidad al frío, dolor paroxístico intenso y localización exquisita del punto doloroso. Aproximadamente el 80% de las lesiones se localiza en la extremidad superior y, de estas, la mayoría se sitúa en la zona subungueal. En el periodo 2005-2008 hemos tenido la oportunidad de ver 7 casos en nuestro Servicio, cuyo diagnóstico fue confirmado mediante el estudio histológico tras su extirpación. En este trabajo aprovechamos para revisar las características clínicas, las pruebas diagnósticas complementarias y las principales técnicas quirúrgicas descritas.

Palabras clave:
tumor glómico
diagnóstico
tratamiento quirúrgico
distrofia ungueal
Full text is only aviable in PDF
References
[1.]
M. Garman, I. Orengo, D. Netscher, M. Schwartz, T. Rosen.
On glomus tumors, warts and razors.
Dermatol Surg, 29 (2003), pp. 192-194
[2.]
Y. Tomak, I. Akcay, N. Debak, L. Eroglu.
Subungual glomus tumors of the hand: diagnosis and treatment of 14 cases.
Scand J Plast Reconstr Surg Hand Surg, 37 (2003), pp. 121-124
[3.]
O. Koç, A. Kivrak, Y. Paksoy.
Subungual glomus tumor; magnetic resonance imaging findings.
Australas Radiol, 51 (2007), pp. 107-109
[4.]
T. Pater, R. Marks.
Glomus tumor of the hallux: case presentation and review of the literature.
Foot Ankle Int, 25 (2004), pp. 434-437
[5.]
Z. Gombos, P. Zhang.
Glomus tumor.
Arch Pathol Lab Med, 132 (2008), pp. 1448-1452
[6.]
R. Rohrich, L. Hochstein, R. Millwee.
Subungueal glomus tumors: an algorithmic approach.
Ann Plast Surg, 33 (1994), pp. 300-304
[7.]
S. Kale, V. Rao, M. Bentz.
Glomus tumor of the index finger.
J Craniofac Surg, 17 (2006), pp. 801-804
[8.]
B. Monteagudo, C. de las Heras, L. Requena, M. Ginarte.
Glomangioma solitario congénito en placa telangiectásica.
Actas Dermosifiliogr, 98 (2007), pp. 649-651
[9.]
B. Monteagudo, A. León, C. Durana, C. De las Heras, M. Used, J. Álvarez, et al.
Manifestación segmentaria tipo 1 de glomangiomiomas múltiples.
Actas Dermosifiliogr, 97 (2006), pp. 358-359
[10.]
P. Redondo.
Malformaciones vasculares (I). Concepto, clasificación, fisiopatogenia y manifestaciones clínicas.
Actas Dermosifiliogr, 98 (2007), pp. 141-158
[11.]
S. Verna.
Glomus tumor-induced longitudinal splitting of nail mimicking median canaliform dystrophy.
Indian J Dermatol Venereol Leprol, 74 (2008), pp. 257-259
[12.]
A. Ekin, M. Ózkan, T. Kabaklioglu.
Subungual glomus tumours: a different approach to diagnosis and treatment.
J Hand Surg, 22B (1997), pp. 228-229
[13.]
N. Takemura, N. Fujii, T. Tanaka.
Subungual glomus tumor diagnosis based on imaging.
J Dermatol, 33 (2006), pp. 389-393
[14.]
J. Drapé, I. Idy-Peretti, S. Goettmann, R. Wolfram-Gabel, E. Dion, M. Grossin, et al.
Subungual glomus tumors: evaluation with MR imaging.
Radiology, 195 (1995), pp. 507-515
[15.]
S. Chen, Y. Chen, M. Cheng, K. Yeow, H. Chen, F. Wei.
The use of ultrasonography in preoperative localization of digital glomus tumors.
Plast Reconstr Surg, 112 (2003), pp. 115-119
[16.]
A. Matsunaga, T. Ochiai, I. Abe, A. Wamura, R. Muto, Y. Tomita, et al.
Subungual glomus tumour: evaluation of ultrasound imaging in preoperative assessment.
Eur J Dermatol, 17 (2007), pp. 67-69
[17.]
H. Tada, T. Hirayma, Y. Takemitsu.
Prevention of postoperative nail deformity after subungual glomus resection.
J Hand Surg, 19 (1994), pp. 500-503
[18.]
O. Özdemir, E. Coçkunol, T. Özalp, K. Özaksar.
Glomus tumors of the finger: a report on 60 cases.
Acta Orthop Traumatol Turc, 37 (2003), pp. 244-248
[19.]
H. Takata, Y. Ibuta, O. Isluda, K. Kimori.
Treatment of subungual glomus tumor.
Hand Surg, 6 (2001), pp. 25-27
[20.]
B. Vasisht, K. Watson, E. Joseph, G. Lionelli.
Digital glomus tumors: a 29-year experience with a lateral subperiosteal approach.
Plast Reconstr Surg, 114 (2004), pp. 1486-1489
Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
Download PDF
Idiomas
Actas Dermo-Sifiliográficas
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?