Glomus Tumour: A Retrospective Review of 15 Years Experience in A Single Institution
- Author:
Rashdeen Fazwi
;
Patricia Ann Chandran
;
T Sara Ahmad
- Publication Type:Journal Article
- Keywords:
Glomus Tumour, Presentation, Imaging, Recurrence
- From:Malaysian Orthopaedic Journal
2011;5(3):8-12
- CountryMalaysia
- Language:English
-
Abstract:
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 prediagnosis. 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.
- Full text:W020160108337526681591.pdf