Moor E V, Goldberg I, Westreich M
Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Ann Plast Surg. 1999 Oct;43(4):436-8. doi: 10.1097/00000637-199910000-00016.
Multiple glomus tumors are extremely rare and differ from the more common solitary glomus tumors in their clinical presentation and histological features. The authors report a case of multiple glomus tumors of the right hand in a 65-year-old man, its treatment, and a review of the features of this uncommon tumor. The tumor usually presents as a painful, firm, purplish, solitary nodule of the extremities, especially in the nail bed. Multiple glomus tumors are described as softer, more compressible, bluish nodules and they occur with less frequency than solitary tumors. They are often inherited in an autosomal dominant pattern. The authors present a case of multiple glomus tumors of the right hand, in which many small, painful, red papules were grouped in the right hypothenar region. The patient was treated by wide excision of the lesion and coverage of the defect with an ulnar artery forearm flap.
多发性血管球瘤极为罕见,在临床表现和组织学特征上与较常见的孤立性血管球瘤有所不同。作者报告了一例65岁男性右手多发性血管球瘤病例、其治疗方法,并对这种罕见肿瘤的特征进行了综述。该肿瘤通常表现为四肢疼痛、质地硬、呈紫色的孤立结节,尤其是在甲床部位。多发性血管球瘤被描述为质地较软、更易压缩、呈蓝色的结节,其发生频率低于孤立性肿瘤。它们常以常染色体显性模式遗传。作者呈现了一例右手多发性血管球瘤病例,其中许多小的、疼痛的红色丘疹聚集在右手小鱼际区域。患者接受了病变广泛切除,并采用尺动脉前臂皮瓣覆盖缺损。