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Related Experiment Video

Updated: Sep 15, 2025

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
05:44

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts

Published on: October 20, 2023

798

Lateral Surgical Approach for Subungual Glomus Tumors With Low Recurrence Rates: A Single-Center Case Series.

Roberto Martínez-Mejorada1, Gabriel García-González2, Alejandro Curiel-Rivas3

  • 1Plastic and Reconstructive Surgery, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

Cureus
|July 14, 2025
PubMed
Summary

Surgical excision of glomus tumors, particularly with complete capsule removal, is effective. A lateral approach with careful matriectomy minimizes recurrence, highlighting the importance of thorough excision for these rare benign neoplasms.

Keywords:
case seriesfingertipglomus tumorhandmesenchymal neoplasmmexicoplastic surgerysurgical excisiontransungual approach

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Dermatology

Background:

  • Glomus tumors are rare, benign mesenchymal neoplasms.
  • They typically present as painful, blue-red nodules sensitive to cold.
  • Complete surgical excision of the tumor capsule is the standard treatment.

Purpose of the Study:

  • To evaluate the effectiveness of surgical treatment for glomus tumors.
  • To analyze recurrence rates and identify factors influencing outcomes.
  • To assess the efficacy of a lateral surgical approach with matriectomy.

Main Methods:

  • Retrospective, single-center case series.
  • Included 24 patients surgically treated for glomus tumors between 2017 and 2023.
  • Data collected on tumor location, patient demographics, and treatment outcomes.

Main Results:

  • Glomus tumors were more prevalent in women (75%) and commonly affected the left hand (70.8%), particularly the subungual region (45.8%).
  • The thumb and index digits were most frequently involved.
  • Average symptom duration was 2.9 years; one patient had a history of recurrence.

Conclusions:

  • A lateral surgical approach with careful matriectomy proved effective, resulting in minimal recurrence.
  • Complete tumor excision is crucial, as emphasized by the case of prior recurrence.
  • The study supports the efficacy of this surgical technique for glomus tumors.