Is surgery mandatory for subungual glomus tumor?
May 16, 2023
Source: Cainiu Health
Dr. Zhang Jianbin
Introduction
A glomus tumor of the inferior thyroid vessels refers to a vascular tumor located in the neck, associated with the common carotid artery and internal jugular vein. If the lesion is small and asymptomatic or only mildly symptomatic, immediate surgical treatment may not be necessary; instead, observation and conservative management can be used to control the condition. However, if the lesion is large or serious complications such as thrombosis are present, surgical intervention may be required.
Generally, for subthyroid glomus tumors, if the lesion is small, surgery may not be necessary; however, if the subthyroid glomus tumor is large, surgical intervention may be required. The detailed analysis is as follows:
1. Not Required
A subthyroid glomus tumor refers to a glomus tumor located in the neck, associated with the common carotid artery, internal jugular vein, and subclavian vein. Subthyroid glomus tumors are extremely rare, and venous thrombosis caused by such tumors is even more uncommon. If the lesion is small and asymptomatic or only mildly symptomatic, immediate surgical treatment may not be needed. Instead, observation and conservative management can be used to control the condition.
2. Required
If the lesion is large or serious complications such as thrombosis are present, surgical treatment may be necessary. Surgical approaches for subthyroid glomus tumors include open surgery and endovascular interventional procedures. Interventional procedures typically involve minimally invasive endovascular techniques, which reduce surgical trauma and shorten recovery time, although multiple sessions may be required to completely eliminate the lesion. Open surgery involves making an incision and is generally recommended for larger lesions or cases with severe complications such as thrombosis.
In summary, treatment of subthyroid glomus tumors requires a comprehensive assessment based on individual clinical conditions to determine the most appropriate approach. Small lesions may not require surgery, but regular follow-up examinations are still essential, along with maintaining healthy lifestyle habits to prevent potential complications.
