Subungual glomus tumors are rare, benign neoplasms arising from the glomus body, typically located beneath the nail bed. They are characterized by distinct clinical features, including localized pain, tenderness, and a bluish discoloration of the nail, which can significantly impact a patient's quality of life.

This study aims to examine the clinical presentation, diagnosis, surgical management, and outcomes of patients with subungual glomus tumors. A retrospective analysis was conducted on patients diagnosed with subungual glomus tumors at our institution over a five-year period. Clinical data, including demographics, symptom duration, physical examination findings, imaging studies, surgical techniques, and postoperative outcomes, were collected and analyzed.

A total of 15 patients with histologically confirmed subungual glomus tumors were included in the study. The mean age at presentation was 35 years, with a higher prevalence in females. The most common presenting symptoms were severe localized pain and tenderness, often exacerbated by cold temperatures. Imaging studies, including ultrasound and MRI, were utilized to aid in diagnosis, although the definitive diagnosis was made through excisional biopsy. Surgical excision was performed in all cases, with a mean follow-up of 12 months. Postoperatively, most patients reported significant pain relief and satisfactory cosmetic outcomes. Recurrence was noted in two patients, necessitating re-excision.

Subungual glomus tumors, though rare, should be considered in patients presenting with localized nail pain and tenderness. Early diagnosis and surgical excision are crucial for effective management and optimal outcomes. This study highlights the importance of a multidisciplinary approach, including clinical examination and imaging, in the timely identification and management of these tumors. Further research is warranted to explore long-term outcomes and recurrence rates associated with different surgical techniques.