title: Glomus tumor of the hand.
abstract: BACKGROUND
  Glomus tumors were first described by Wood in 1812 as painful subcutaneous tubercles. It is an uncommon benign neoplasm involving the glomus body, an apparatus that involves in thermoregulation of cutaneous microvasculature. Glomus tumor constitutes 1%-5% of all hand tumors. It usually occurs at the subungual region and more commonly in aged women. Its classical clinical triad consists of pain, tenderness and temperature intolerance, especially cold sensitivity. This study reviews 15 cases of glomus tumor which were analyzed according to its anatomic location, surgical approach and histologic findings.
  
  
  METHODS
  Fifteen patients with subungual glomus tumors of the hand operated on between January 2006 and March 2013, were retrospectively reviewed. Patients were evaluated preoperatively with standard physical examination including ice cube test and Love's test. Diagnostic imaging consisted of ultrasonography, computed tomography, and magnetic resonance imaging. All procedures were performed with tourniquet control under local anesthesia. Eleven patients underwent excision using the transungual approach, 3 patients using the volar approach and 1 patient using the lateral subperiosteal approach.
  
  
  RESULTS
  Total of 15 cases were reviewed. 11 tumors were located in the nail bed, 3 in the volar pulp and 1 in the radial aspect of the finger tip. After complete excision, patients remained asymptomatic in the immediate postoperative period. In the long term follow up, patients exhibited excellent cosmetic results with no recurrence.
  
  
  CONCLUSIONS
  Accurate diagnosis should be made by physical, radiologic and pathologic examinations. Preoperative localization and complete extirpation is essential in preventing recurrence and subsequent nail deformity.
authors.affiliation: Yonsei E1 Plastic Surgery, Anyang, Korea.
authors.forename: Won
authors.initials: W
authors.lastname: Lee
authors.affiliation: Yonsei E1 Plastic Surgery, Anyang, Korea.
authors.forename: Soon Beom
authors.initials: SB
authors.lastname: Kwon
authors.affiliation: Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine, Goyang, Korea.
authors.forename: Sang Hun
authors.initials: SH
authors.lastname: Cho
authors.affiliation: Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine, Goyang, Korea.
authors.forename: Su Rak
authors.initials: SR
authors.lastname: Eo
authors.affiliation: Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine, Goyang, Korea.
authors.forename: Chan
authors.initials: C
authors.lastname: Kwon
keywords: Glomus tumor; Hand; Neoplasms