Management of Glomus Tumors: Experience From a Tertiary Care Centre in India

印度一家三级医疗中心在球瘤治疗方面的经验

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Abstract

BACKGROUND: Glomus tumors are uncommon soft tissue tumors that typically develop in the distal extremities, especially the finger's subungual area. Pain, soreness, and temperature intolerance, particularly cold sensitivity, make up its traditional clinical triad. There is a relative rarity in the literature on this topic, and we have analyzed and thereby discussed our experience in these cases. METHODS: A retrospective cross-sectional study was performed at a tertiary care centre in Jammu, India. All patients diagnosed with glomus tumor from October 2022 to August 2024 were included in the study. Conventional radiographs, ultrasonography (USG), and MRI were the investigation modalities used for diagnosis. Tumors excised were sent for histopathological examination (HPE) for pathological diagnosis. RESULTS: A total of 11 cases of glomus tumor were diagnosed from October 2022 to August 2024, and the relevant demographic and clinical data were reported. Out of 11 cases, nine (81.8%) were located in the nail bed, while two (18.2%) were located in the volar pulp. Pain was present in almost all the cases, while a lump was visible in only one case of volar pulp tumor. There was a considerable delay in diagnosis in the majority of cases. There were no cases of recurrence. CONCLUSION: Due to their rarity, glomus tumors are frequently overlooked by clinicians due to a lack of a strong index of suspicion, which typically results in treatment being delayed. Once identified, glomus tumors can be effectively treated with complete excision.

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