Glomus Tumour: A Retrospective Review of 15 Years Experience in A Single Institution
Journal Title: Malaysian Orthopaedic Journal - Year 2011, Vol 5, Issue 3
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.
Authors and Affiliations
Rashdeen Fazwi, Patricia Ann Chandran, T Sara Ahmad
Keywords
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- EP ID EP303402
- DOI 10.5704/MOJ.1111.007
- Views 126
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