88% were women with an average age of 44 years. The diagnosis of a glomus tumor is based on the triad of symptoms: pain at rest, pain from direct pressure, and intolerance to temperature changes. Provocation Signs: 1. Love’s pin test (direct pressure of a round pin head causing pain), 2. Hildreth’s test (applying a tourniquet to the base of the digit which decreases pain), 3. Cold sensitivity (placing the digit in cold water causing increased pain) Due to the low prevalence of the tumor, the mean duration of diagnosis and treatment is 5–10 years. Although the diagnosis is based on clinical findings, an MRI is useful in identifying the exact location and size of a tumor Treatment: recommended surgery based upon clinical findings, even if the MRI was negative. Either: nail removal or a lateral approach Most recently, Roan et al. have proposed a split nail technique of excision that leaves the nail and nail bed intact. A small incision is made through the nail directly above the tumor and excision is performed. The nail is then closed with suture and the nail bed and cuticle are left untouched, resulting in an improved cosmetic result D/D subungual lesion 1. Squamous cell Carcinoma: SCC is the most common primary neoplasm of the hand and subungual area. It accounts for approximately 90 % of all malignancies involving the hand. In the subunqual region, SCC is a slow-growing tumor with a variable presentation. As a result, SCC is often misdiagnosed. The time between the initial presentation and diagnosis averages 24–25 months. It occurs more frequently in men after the fifth decade of life. It is typically limited to a single digit involvement. Potential etiologies include ultraviolet radiation, human papillomavirus infections, HIV and epidermal dysplasia
88% were women with an average age of 44 years. The diagnosis of a glomus tumor is based on the triad of symptoms: pain at rest, pain from direct pressure, and intolerance to temperature changes. Provocation Signs: 1. Love’s pin test (direct pressure of a round pin head causing pain), 2. Hildreth’s test (applying a tourniquet to the base of the digit which decreases pain), 3. Cold sensitivity (placing the digit in cold water causing increased pain) Due to the low prevalence of the tumor, the mean duration of diagnosis and treatment is 5–10 years. Although the diagnosis is based on clinical findings, an MRI is useful in identifying the exact location and size of a tumor Treatment: recommended surgery based upon clinical findings, even if the MRI was negative. Either: nail removal or a lateral approach Most recently, Roan et al. have proposed a split nail technique of excision that leaves the nail and nail bed intact. A small incision is made through the nail directly above the tumor and excision is performed. The nail is then closed with suture and the nail bed and cuticle are left untouched, resulting in an improved cosmetic result D/D subungual lesion 1. Squamous cell Carcinoma: SCC is the most common primary neoplasm of the hand and subungual area. It accounts for approximately 90 % of all malignancies involving the hand. In the subunqual region, SCC is a slow-growing tumor with a variable presentation. As a result, SCC is often misdiagnosed. The time between the initial presentation and diagnosis averages 24–25 months. It occurs more frequently in men after the fifth decade of life. It is typically limited to a single digit involvement. Potential etiologies include ultraviolet radiation, human papillomavirus infections, HIV and epidermal dysplasia
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