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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Won (Yonsei E1 Plastic Surgery) Kwon, Soon Beom (Yonsei E1 Plastic Surgery) Cho, Sang Hun (Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine) Eo, Su Rak (Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine) Kwon, Chan (Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University Graduate School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제3호
발행연도
2015.1
수록면
295 - 301 (7page)

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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.
#Glomus tumor #Neoplasms #Hand

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참고문헌 (21)

참고문헌 신청
Lee CH / 1995 / Clinical analysis of twenty cases of glomus tumor in the digits / J Korean Soc Plast Reconstr Surg 22:169~178 google schola Carroll RE / 1972 / Glomus tumors of the hand: review of the literature and report on twenty-eight cases / J Bone Joint Surg Am 54:691~703 google schola Masson P. / 1924 / Le glomus neuro-myo-arteriel des regions tactiles et ses tumeurs / Lyon Chi 21:257~280 google schola Chatterjee JS / 2005 / Congenital nodular multiple glomangioma: a case report / J Clin Pathol 58:102~103 google schola Vasisht B / 2004 / Digital glomus tumors: a 29-year experience with a lateral subperiosteal approach / Plast Reconstr Surg 114:1486~1489 google schola

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