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Glomangioma in the hand: diagnosis, treatment, and challenges
, 1, 1, 2, 3, 3, 1, 1, 4, 1
Affiliations- Department of Neurosurgery, Spine and Peripheral Nerve Surgery, Medical University of Lodz, Lodz, Poland
- Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Lodz, Poland
- Department of Pathology, Chair of Oncology, Medical University of Lodz, Lodz, Poland
- Department of Normal and Clinical Anatomy, Medical University of Lodz, Lodz, Poland
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Abstract
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.
Abstract
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.
Keywords
subungual glomangioma, glomangioma, glomuvenous malformation, glomangiosarcoma, risk factors, treatment
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About this articleTitle
Glomangioma in the hand: diagnosis, treatment, and challenges
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Short Communication
Pages
387-391
Published online
2023-06-21
Page views
819
Article views/downloads
571
DOI
Pubmed
Bibliographic record
Neurol Neurochir Pol 2023;57(4):387-391.
Keywords
subungual glomangioma
glomangioma
glomuvenous malformation
glomangiosarcoma
risk factors
treatment
Authors
Bartosz Szmyd
Mikolaj Malicki
Maciej Blaszczyk
Filip Franciszek Karuga
Marcin Braun
Julia Sołek
Redwan Jabbar
Jakub Jankowski
Grzegorz Wysiadecki
Maciej Radek
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