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Glomangioma in the hand: diagnosis, treatment, and challenges
Bartosz Szmyd1, Mikolaj Malicki1, Maciej Blaszczyk1
1Department of Neurosurgery, Spine and Peripheral Nerve Surgery, Medical University of Lodz, Lodz, Poland.
Insights
Glomangiomas are rare tumors causing severe pain, often leading to delayed diagnosis. Surgical resection effectively alleviates pain, underscoring the need for increased clinician awareness of this condition.
Area of Science:
- Hand surgery
- Oncology
- Dermatology
Background:
- Glomangiomas are rare vascular tumors.
- These tumors can cause significant pain and tenderness.
- Delayed diagnosis is common for glomangiomas.
Purpose of the Study:
- To analyze hand glomangioma cases.
- To investigate symptoms, diagnostic timelines, and treatment outcomes.
- To emphasize the role of surgical resection.
Main Methods:
- Retrospective analysis of six glomangioma cases.
- Data collected included risk factors, symptoms, diagnosis time, treatment, and follow-up.
- Pain severity assessed using the Visual Analog Scale (VAS).
Main Results:
- Median age of patients was 45 years.
- Severe pain was the primary symptom in all cases.
- Median time to diagnosis was 7 years; surgery significantly reduced pain (p=0.043).
Conclusions:
- Long delays in diagnosis were observed.
- Surgical treatment yielded excellent pain relief.
- Increased clinician awareness of glomangiomas is crucial.
Introduction:
In this paper, we have analysed all hand glomangioma cases referred to our clinic in the context of symptoms, time to diagnosis, and the role of surgical resection of the lesion.
Material And Methods:
We have collected the following data: the presence of risk factors, manifestation, time to diagnosis, the treatment applied, and follow-up of patients.
Results:
We have collected medical records from six patients, three males and three females. The median age was 45 (IQR: 29.5-65.75). The main symptom in all patients was severe pain and tenderness. The first-choice physician(s) were: general practitioners, general surgeons, and neurologists. The median time to diagnosis was 7 (IQR: 5-10) years. The main complaint of our patients was severe pain - 9 (IQR: 9-10) on the VAS scale, which was significantly alleviated after surgical treatment - 0 (IQR: 0-0; p = 0.043).
Conclusions:
Extremely long times to final diagnosis, and excellent outcomes of surgical treatment, highlight the necessity of raising awareness of glomangiomas among clinicians.
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