Glomus tumor natural history: Difference between revisions

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==Overview==
==Overview==
If left untreated, 20% of patients with glomus tumors may progress to develop [manifestation 1], [manifestation 2]


==Prognosis==
==Prognosis==
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==Complications==
==Complications==
*nail deformity, recurrence is a possible complication and may occur in up to 20% of cases.2 Recurrence is thought to be a result of incomplete excision or, in the case of late recurrence, development of a new lesion at or near the excision site. Excision of the capsule of the tumor is required to prevent local recurrence.<ref name="pmid18997858">{{cite journal| author=Hazani R, Houle JM, Kasdan ML, Wilhelmi BJ| title=Glomus tumors of the hand. | journal=Eplasty | year= 2008 | volume= 8 | issue=  | pages= e48 | pmid=18997858 | doi= | pmc=PMC2567120 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18997858  }} </ref>
*Nail deformity,  
*Recurrence
**Recurrence is thought to be a result of incomplete excision or, in the case of late recurrence, development of a new lesion at or near the excision site. Excision of the capsule of the tumor is required to prevent local recurrence.<ref name="pmid18997858">{{cite journal| author=Hazani R, Houle JM, Kasdan ML, Wilhelmi BJ| title=Glomus tumors of the hand. | journal=Eplasty | year= 2008 | volume= 8 | issue=  | pages= e48 | pmid=18997858 | doi= | pmc=PMC2567120 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18997858  }} </ref>


==References==
==References==

Revision as of 15:27, 21 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

If left untreated, 20% of patients with glomus tumors may progress to develop [manifestation 1], [manifestation 2]

Prognosis

The most common adverse effect is pain, which is usually associated with solitary lesions. Multiple tumors are less likely to be painful. In one report, a patient with more than 400 glomus tumors had thrombocytopenia as a result of platelet sequestration (ie, Kasabach-Merritt syndrome). Malignant glomus tumors, or glomangiosarcomas, are extremely rare and usually represent a locally infiltrative malignancy. However, metastases do occur and are usually fatal.

Patients who have surgery or radiation tend to do well.

Complications

  • Nail deformity,
  • Recurrence
    • Recurrence is thought to be a result of incomplete excision or, in the case of late recurrence, development of a new lesion at or near the excision site. Excision of the capsule of the tumor is required to prevent local recurrence.[1]

References

  1. Hazani R, Houle JM, Kasdan ML, Wilhelmi BJ (2008). "Glomus tumors of the hand". Eplasty. 8: e48. PMC 2567120. PMID 18997858.


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