Glomus Tumour are vascular neoplasm that arise from glomus body. They are benign hamartomas most commonly occurring at subungual region of digits. They can cause recurrent episodes of intense lancinating pain and disability. Patients often undergo undiagnosed or misdiagnosed for many years because the tumours are small. The purpose of our study was to assess pain relief and recurrence rate after complete excision of tumour.
Material and Methods: Twenty one patients were included in the study. All cases were assessed clinically and on MRI. Glomus tumour excision was done under microscope and the diagnosis was confirmed post-operatively by HPE. Pre- and Post-operative VAS scores were compared to evaluate the symptomatic outcome. Recurrence was assessed by recurrence of pain and MRI changes.
Results: Out of 21 patients 18 were females and 3 were males. The mean age was 35 years. All patients showed dramatic relief of pain after surgical excision. Early diagnosis and surgical excision decreases patient's sufferings from severe pain and disability. The average improvement in VAS score was from 7.952 (pre-op) to 1.048 (post-op). No recurrence observed at 24 months follow-up.
Conclusion: Glomus tumour is a rare disease, one should have a high index of suspicion for Glomus tumour in intractable chronic fingertip pain. Excision of Glomus tumour under microscope allows better tissue clearance and hence low recurrence rate.