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Recurrent digital glomus tumor: analysis of 75 cases
Yang-Chih Lin1, Pa-Fan Hsiao, Yu-Hung Wu
1Department of Dermatology, Mackay Memorial Hospital, Taipei, Taiwan. lin1234@ms2.mmh.org.tw
Summary
Recurrence of glomus tumors is higher for skin-colored or nail matrix tumors. Complete surgical excision is crucial for preventing glomus tumor recurrence.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Glomus tumors are rare, benign skin neoplasms.
- Complete surgical excision is necessary to prevent recurrence.
Purpose of the Study:
- Investigate factors linked to glomus tumor recurrence post-surgery.
- Identify high-risk glomus tumors for recurrence.
Main Methods:
- Retrospective analysis of 75 patients (58 women, 17 men) with digital glomus tumors.
- Surgical excision performed between 1990 and 2008.
- Analysis of tumor characteristics and patient data.
Main Results:
- 17% of patients experienced glomus tumor recurrence.
- Skin-colored tumors (OR=31.67) and nail matrix tumors (OR=5.79) showed higher recurrence rates.
- No recurrence observed in patients with preoperative MRI or ultrasound.
Conclusions:
- Skin-colored glomus tumors and those in the nail matrix are at increased risk of recurrence.
- Preoperative imaging may aid in surgical planning and recurrence prevention.