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Transungual Excision of Glomus Tumors: A Treatment and Quality of Life Study.

Abstract

BACKGROUND

Glomus tumors are rare benign painful tumors, frequently found in the subungual region. Complete surgical excision is essential for relief of symptoms. The main postoperative complications are tumor recurrence and nail dystrophy.

OBJECTIVE

To evaluate the long-term outcome and the impact on quality of life (QoL) of glomus tumors after a transungual approach.

MATERIALS AND METHODS

A retrospective cohort study was conducted. Twenty-six patients underwent transungual excision of subungual glomus tumors. A self-administered questionnaire was sent to evaluate the postoperative outcome. Glomus tumor-related QoL was investigated using modified nail psoriasis (NPQ10) and onychomycosis questionnaires.

RESULTS

A response rate of 85% was achieved. After a mean follow-up of 63 months after transungual excision of the tumor, the mean Numeric Pain Rating Score had improved from 7.9 (±SD 1.8) preoperatively, to 0.8 (±SD 1.9) (p < .000). Quality of life improved significantly: the mean NPQ10-score improved from 5.5 (±SD 3.4) to 0.64 (±SD 2.1) (p < .000). Nail-related sequelae were not reported in any of the patients.

CONCLUSION

Our study showed that glomus tumors cause impairment on QoL, mostly due to severe pain. Surgical excision with the transungual approach is an effective treatment, without permanent damage to the nail unit that gives relief of pain and improves QoL.

Authors+Show Affiliations

Department of Internal Medicine, Maxima Medical Center, Veldhoven, the Netherlands.Department of Dermatology, Viecuri, Venlo, the Netherlands.Department of Dermatology, Radboud University Medical Center, Nijmegen, the Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31584524

Citation

Reinders, Edouard F H., et al. "Transungual Excision of Glomus Tumors: a Treatment and Quality of Life Study." Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], 2019.
Reinders EFH, Klaassen KMG, Pasch MC. Transungual Excision of Glomus Tumors: A Treatment and Quality of Life Study. Dermatol Surg. 2019.
Reinders, E. F. H., Klaassen, K. M. G., & Pasch, M. C. (2019). Transungual Excision of Glomus Tumors: A Treatment and Quality of Life Study. Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], doi:10.1097/DSS.0000000000002006.
Reinders EFH, Klaassen KMG, Pasch MC. Transungual Excision of Glomus Tumors: a Treatment and Quality of Life Study. Dermatol Surg. 2019 Oct 2; PubMed PMID: 31584524.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transungual Excision of Glomus Tumors: A Treatment and Quality of Life Study. AU - Reinders,Edouard F H, AU - Klaassen,Karlijn M G, AU - Pasch,Marcel C, Y1 - 2019/10/02/ PY - 2019/10/5/entrez JF - Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] JO - Dermatol Surg N2 - BACKGROUND: Glomus tumors are rare benign painful tumors, frequently found in the subungual region. Complete surgical excision is essential for relief of symptoms. The main postoperative complications are tumor recurrence and nail dystrophy. OBJECTIVE: To evaluate the long-term outcome and the impact on quality of life (QoL) of glomus tumors after a transungual approach. MATERIALS AND METHODS: A retrospective cohort study was conducted. Twenty-six patients underwent transungual excision of subungual glomus tumors. A self-administered questionnaire was sent to evaluate the postoperative outcome. Glomus tumor-related QoL was investigated using modified nail psoriasis (NPQ10) and onychomycosis questionnaires. RESULTS: A response rate of 85% was achieved. After a mean follow-up of 63 months after transungual excision of the tumor, the mean Numeric Pain Rating Score had improved from 7.9 (±SD 1.8) preoperatively, to 0.8 (±SD 1.9) (p < .000). Quality of life improved significantly: the mean NPQ10-score improved from 5.5 (±SD 3.4) to 0.64 (±SD 2.1) (p < .000). Nail-related sequelae were not reported in any of the patients. CONCLUSION: Our study showed that glomus tumors cause impairment on QoL, mostly due to severe pain. Surgical excision with the transungual approach is an effective treatment, without permanent damage to the nail unit that gives relief of pain and improves QoL. SN - 1524-4725 UR - https://www.unboundmedicine.com/medline/citation/31584524/Transungual_Excision_of_Glomus_Tumors:_A_Treatment_and_Quality_of_Life_Study L2 - http://dx.doi.org/10.1097/DSS.0000000000002006 DB - PRIME DP - Unbound Medicine ER -