Glomus tümörü : Parmak yerleşimli 23 olgunun incelenmesi
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Date
2012-01-03
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Uludağ Üniversitesi
Abstract
Kliniğimizde 2005–2011 yılları arasında cerrahi tedavi uygulanan, parmakta glomus tümörü yerleşimli 23 hasta (21 kadın, 2 erkek ) çalışmamıza dahil edilerek nüks ve komplikasyon açısından incelendi. Çıkarılan materyallerin tamamı immünohistolojik incelemeye gönderildi. Bu olgular retrospektif olarak incelendi. Çalışmamızda ortalama yaş 44,5 (18–71) olarak hesaplandı. Toplam 21 kadın, 2 erkek olmak üzere 23 hasta 27 ay (3–65 ay) ortalamasıyla takibe alındı. 7 hastada lezyon sağ elde(%30), 14 hastada sol elde (%70) olduğu görüldü. Toplam 4 olguda pulpadan tümör eksizyonu yapıldı. 18 hastaya tırnak çekilmesi sonrası tırnak yatağından yapılan insizyona tümör eksizyonu uygulandı. Sonrasında tırnak splint olarak yerleştirildi. Ayrıca 1 hastada interosseoz yerleşimli lezyon subungual yaklaşımla kürete edildi. 1 hastada glomüs tümörüne ek olarak 5. parmakta bulunan AV malformasyonu eksize edildi. Postoperatif dönemde sadece 1 olguda rekürrens görüldü (%4,3) ve cerrahi uygulandı. İkinci ameliyattan sonra klinik iyileşme sağlandı. Parmak uçlarında özellikle temas sonucu şiddetli ağrısı olan hastalarda glomus tümörü olasılığı akla gelmelidir.
Evaluation of 23 (21 female, 2 male ) finger located glomus tumor patients who underwent surgery in our clinic between 2005–2011. Patients were investigated with respect to recurrens and postoperative complications. The excision materials were sent to immunohistological investigation. These cases were retrospectively analyzed. In our investigation, mean age was estimated 44,5 years (18-73). Mean follow up time was 27 months ; range 3–65 months. The lesion was located on the right hand in 7 patients (%30) and on the left in 14 patients (%70). Tumor excision were made from the pulp in 4 patients. In 18 patients, after tumor removal, longitudinal insicion has been made to nail bed and after tumor excision, nail was used as splint. Also, in only 1 patient interosseous glomus tumor has been curated with subungual approach. 5. finger located AV malformation excision has been made beside 4.finger glomus tumor excision in another patient. Only 1 patient (%4,3) experienced recurrence post operatively and needed surgery. After second operation clinical cure has been secured. It should be kept in mind that severe finger tip pain especially during palpation has the posibility of being glomus tumor.
Evaluation of 23 (21 female, 2 male ) finger located glomus tumor patients who underwent surgery in our clinic between 2005–2011. Patients were investigated with respect to recurrens and postoperative complications. The excision materials were sent to immunohistological investigation. These cases were retrospectively analyzed. In our investigation, mean age was estimated 44,5 years (18-73). Mean follow up time was 27 months ; range 3–65 months. The lesion was located on the right hand in 7 patients (%30) and on the left in 14 patients (%70). Tumor excision were made from the pulp in 4 patients. In 18 patients, after tumor removal, longitudinal insicion has been made to nail bed and after tumor excision, nail was used as splint. Also, in only 1 patient interosseous glomus tumor has been curated with subungual approach. 5. finger located AV malformation excision has been made beside 4.finger glomus tumor excision in another patient. Only 1 patient (%4,3) experienced recurrence post operatively and needed surgery. After second operation clinical cure has been secured. It should be kept in mind that severe finger tip pain especially during palpation has the posibility of being glomus tumor.
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Keywords
Subungual, Parmak, Glomus tümörü, Pulpa, Subungal, Finger, Glomus tumor, Pulp
Citation
Şimşek, M. E. vd. (2012). "Glomus tümörü : parmak yerleşimli 23 olgunun incelenmesi". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 38(1), 25-27.