Song Margaret, Ko Hyun-Chang, Kwon Kyung-Sool, Kim Moon-Bum
Department of Dermatology, Pusan National University, Busan, Korea.
Dermatol Surg. 2009 May;35(5):786-91. doi: 10.1111/j.1524-4725.2009.01129.x. Epub 2009 Mar 30.
The glomus tumor, described as a painful subcutaneous nodule, commonly occurs in subungual regions and is accompanied by tenderness and temperature sensitivity. In treatment of subungual glomus tumor, surgical excision is known to be the only curative method. Under surgical approach, it is challenging to minimize postoperative nail deformity and to reduce tumor recurrence.
To evaluate the efficacy and safety of surgical treatment of subungual glomus tumor using simple blunt dissection.
Twenty-three patients diagnosed with subungual glomus tumor underwent surgical procedure using a dorsal transungual approach. A single linear incision was made above the tumor, and the exposed mass was meticulously dissected with the opposite end of a single-end probe, and the tumor "popped up." Recurrence of symptom, tumor recurrence, and local complication were evaluated through long-term follow-up.
After a mean follow-up period of 30 months, only one case recurred, and partial-thickness skin necrosis occurred around the tourniquet site. There was no postoperative nail deformity.
In treatment of subungual glomus tumor, meticulous simple blunt dissection using a transungual approach led the tumor to "pop up" from the tumor bed. This unique and simple method of treating subungual glomus tumor showed low recurrence and minimal complications.
血管球瘤表现为疼痛性皮下结节，常见于甲下区域，伴有压痛和温度敏感性。在甲下血管球瘤的治疗中，手术切除是唯一的治愈方法。在手术入路方面，尽量减少术后指甲畸形和降低肿瘤复发具有挑战性。
评估采用简单钝性分离法手术治疗甲下血管球瘤的疗效和安全性。
23例诊断为甲下血管球瘤的患者采用经甲背侧入路进行手术。在肿瘤上方做一条直线切口，用单端探针的另一端仔细分离暴露的肿块，肿瘤“弹出”。通过长期随访评估症状复发、肿瘤复发和局部并发症情况。
平均随访30个月后，仅1例复发，止血带部位周围出现部分厚度皮肤坏死。无术后指甲畸形。
在甲下血管球瘤的治疗中，采用经甲入路进行细致的简单钝性分离可使肿瘤从瘤床“弹出”。这种独特且简单的甲下血管球瘤治疗方法显示出低复发率和最小并发症。
