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.
Abstract

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