Short-Scar Surgical Approach for the Treatment of Glomus Tumor of the Digit

Abstract

A glomus tumor is a biologically benign neoplasm. The traditional surgical approach to treat this tumor boasts the lowest recurrence rates but may cause nail deformities. A short-scar surgical approach was applied, with the aim of preserving the aesthetics of the nail. Between January 1999 and January 2009, 25 patients who underwent surgery for a glomus tumor were included in the study. All patients underwent radical resection with three different surgical approaches based on the location of the tumor. All patients who were operated on had complete regression of pain immediately after surgery and at postsurgery follow-ups. The treatment of glomus tumors consists of surgical excision, which is successful if properly executed. Excision of sensitive afferent nervous fibers is a prerequisite to achieve regression of pain. A short-scar surgical approach ensures complete eradication of the tumor and preservation of nail aesthetics.