TREATMENT FOR GLOMUS TUMORSGLOMUS TUMORS
Considered as an aid to regulate temperature:
Glomus body is an integral part of the dermal layer of skin. When the glomus body comes in contact with cold temperatures, they move blood away from the surface touched to reduce heat loss. Though Glomus body are found all over yet they are more prevalently present in fingers and toes and an abnormal growth of glomus body results in glomus tumors.
With slow growth and rarity:
these abnormal growth of mass of tissues are usually not malignant in nature. With no fathomable cause of the tumors having yet been diagnosed except perhaps some hereditary link, they are extremely painful and more so when placed in cold water. The signs that signify glomus tumors are elevated nail bed and bluish or whitish discoloration as a possible indication.
Frequently found more in young adults:
Glomus tumors usually affect people between 20-50 years of age and more so, women. Being not more than 7mm in diameter, these benign tumors very rarely are transformed to malignant / cancerous tumors thereby becoming more than 2cm in diameter. This complex finger tumor needs a surgeon who is not only well versed with this condition but has skilled hands to treat it respectively.
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Approach Considerations:
Surgical excision is the only permanent treatment for glomus tumors. It becomes essential when pain and sensitivity to cold surfaces make life difficult for the patient and interfere with his daily activities.
Alternatives:
Though surgical excision is the only definite technique to relieve the patient of pain and destroy the tumor, alternatives are applied to the tumors so that the patient could find relief from the intense pain. Alternate techniques that hold the pain at bay vary from sclerotherapy, laser treatment to intralesional injections of a certain prescribed chemical solution.
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Preprative base for surgery:
Surgical excision for glomus tumors is a minimally invasive technique and thus requires no preoperative workup if presence of the tumors is clinically exhibited. It is essential to know the exact localization of the tumor for the excision to be complete and successful. To mark the same, the surgeons take help of MRI imaging scan and methylene blue just before the surgery.
In cases where the tumors may be multiple, intensive clinical assessment and radiographic investigation are essential.
Surgical Technique:
This minimally invasive technique is performed after giving the patient anesthesia to facilitate painless procedure. Lesions in the nail bed are exposed after removing the nail. The nail plate, nail bed and periosteum are all elevated to remove the tumor. Thereafter, the flap is then replaced and held with nylon sutures. It is essential to remove the capsule entirely to prevent recurrences.
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After surgery care:
The patient feels relief immediately after the surgery. The patient is closely monitored after the excision and if the symptoms persist or the tumor recurs after 3 months the excision is repeated. The only reasons why the tumors reappear are because either the excision was not complete or the patient had multiple tumors.
Complications:
If the surgical excision remains incomplete then the symptoms may keep persisting and if it spreads into the germinal matrix of the nail bed it may hamper nail growth or there might be a significant nail ridging.
Benefits:
Surgical excision is the most accurate treatment for glomus tumors. It not only relieves patients of their preoperative symptoms of pain and sensitivity but also restore normal functioning of the fingers. Patients rarely experience deformity in their fingers or nail after the surgery and neither do they experience tumor recurrence.
Rehabilitation:
The patient has to ensure that movement in fingers and hand do not stop else it will cause stiffness. Under the guidance of a skilled physiotherapist the patient performs exercises that help bring relaxation and strength back to the fingers and facilitate easy movements thereafter.
More about hand surgeon:
Dr. Vikas Gupta is a renowned name in the field of upper extremity. Having completed MBBS and MS in Orthopedics from All India Institute of Medical Sciences, his educational background also includes further studies from Germany and USA.
He has an experience of more than 25 years with deliverance forte being AIIMS, Fortis, Medanta-The Medicity and at present Max Healthcare, Saket and Gurgaon. More than 6000 surgeries with 100% success ratio easily make him the best hand and shoulder specialist in India today, to be consulted or treated for any debilitating condition in the upper extremity.
He is also an active and esteemed presence in national and international medical seminars and acclaimed for his lectures and papers. Looked upto by his peers and interns he has received various awards for introducing many revolutionary international techniques in India.
Max Healthcare, the super specialty hospital is the best hospital in Delhi-NCR. It strives to provide cost effective, painless treatment techniques to each patient by a team of ingenious professionals.