subungual glomus tumor resection

A glomus tumor is a vascular hamartoma that originates from a normal glomus or other arteriovenous branch. There is often a family history. Single hair style is blue-violet nodules, the diameter is less than 1cm, often occurs in the distal extremities, the most common under the arm. There are paroxysmal pains that are especially noticeable when cold or touching. Mainly seen in young women. More hair style than small single hair, the deep purple purple blue nodules, the number of up to several hundred, widely distributed, more common in young men, generally no pain. It is autosomal dominant. Treatment of diseases: glomus tumors Indication Suitable for patients with subglomerular glomus tumors. Contraindications Local anesthesia. Preoperative preparation Before the operation, the position should be fixed, and the operation should be carefully checked. It is best to carry out under the operating microscope to prevent omission. Surgical procedure The left ring refers to the end pain for 1 year. The proximal margin of the temporal margin was slightly elevated, and the localized tenderness was abnormal. The local nail was faint blue. Under the anesthesia of the finger root nerve block, 1/4 of the deck was removed, and a large purple-blue mass of the bean was clearly visible in the nail bed. The nail bed was cut longitudinally and the mass was carefully peeled off with a blunt periosteal stripper. The mass has a complete envelope. Be careful not to use a sharp knife to peel off, so as not to cut the tumor and leave the tumor tissue. Tumor tissue consists of different proportions of spheroid cells, vascular structures, and smooth muscle tissue. The endothelium of the vessel wall is composed of a plurality of well-formed, regular-shaped cuboidal or polygonal cells (HE×20). Use 5~0 non-invasive needle thread to suture the nail bed and skin. complication Infection and local bleeding.

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