Subungual Glomus Tumor: A Review of 15 Cases Treated with Partial Nail Plate Excision Technique

Mahmoud Farzan; Mahdi Neshan; Amir Reza Farhoud; Abbas Abdoli

doi:10.18502/jost.v7i3.8102

Mahmoud Farzan Professor, Department of Orthopaedic and Trauma Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Mahdi Neshan Medical Student, Department of General Surgery, Shahid Sadoughi Hospital, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Amir Reza Farhoud Assistant Professor, Department of Orthopaedic and Trauma Surgery, Imam Khomeini Hospital Complex, Joint Reconstruction Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abbas Abdoli Assistant Professor, Department of Orthopaedic and Trauma Surgery, Shahid Sadoughi Hospital, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/jost.v7i3.8102

Keywords: Glomus Tumor; Treatment; Hand

Abstract

Background: Although there are various surgical methods for subungual glomus tumor treatment, there is no consensus on the optimal surgical approach.

Methods: We analyzed the outcomes of 15 patients treated with partial nail plate excision technique. The medial or lateral section of the nail plate was excised longitudinally based on the tumor location. After incision of the nail bed and tumor removal, the matrix was repaired carefully.

Results: In this study, 15 people, including 11 men and four women, were studied. The mean onset of symptoms until diagnosis was 88 months. In the postoperative evaluation, the mean follow-up was 20 months. Two patients had recurrent tumors, and one had postoperative nail deformity.

Conclusion: Meticulous nail bed repair and complete tumor excision are key treatment points needed to prevent nail deformity and recurrence.