Management of Sub-ungual Glomus Tumor of the Finger Tips

Background: Glomus tumors present as painful lesions especially in colder weather, most commonly at finger tips. are hamartomas that account for 1% to 5% of all soft tissue the hand. These usually benign. High-resolution magnetingresonence imaging (HR-MRI) is useful diagnosis patients with subungualglomus tumor, excellent diagnostic informationin detecting occult lesion. Objective: study was aimed delineatingcommon presentation and long term treatment outcome. Materials & methods: This prospective done from January 2004 july 2019. We found 30patients diagnosed having sub-ungualglomus tumorsin tips thumbover 15 yearsperiod which were operated hand unit Department orthopaedic surgery, Bangabandhu Sheikh Mujib Medical university (BSMMU) Dhaka, Bangladesh. The data collected included demographics, presenting symptoms, duration, physical examination, recurrence. Results: mean duration symptoms before 3.2 years (range 6 months yrs) Mean age 33.7 20 65 yrs.) andfemale male ratio 20:10. Thirteen (13) patientshad left involvement among them ring 06, index 04, middle 02, thumb 1 17 had right amongthem 05, 03 little 03. Clinical radiological assessment made preoperatively. All lesionsinvolvedthe sub- ungual region. size lesion 3.5 mm 2.5 10mm). confirmed by histopathological examination. No recurrence this nail change Transungual approachto be simple procedure can reduce chances allowing examination entiresub Nail deformities minimal if adequate care taken during surgery. Conclusion: glomus tumor largely clinical butHR-MRI also helpful patient ungualglomus tumor. Complete surgical excision offers only prospect complete cure. Early important avoid lengthy delays.