Gencosmanoglu Rasim, Inceoglu Resit, Kurtkaya-Yapicier Ozlem
Unit of Surgery, Institute of Gastroenterology, Marmara University School of Medicine, Basibuyuk, Maltepe, PK:53, TR-81532 Istanbul, Turkey.
Dermatol Surg. 2003 Dec;29(12):1244-7. doi: 10.1111/j.1524-4725.2003.29397.x.
Glomus tumors may occur in any region of the body, but they are very rare in the hip.
To present the eighth reported case of a glomus tumor of the hip up to date.
This is a case report and a literature review.
A 68-year-old man presented with severe pain and tenderness in the right hip, especially on palpation and in the sitting position. On physical examination, there was a soft palpable subcutaneous mass and severe tenderness in the right hip. Ultrasound revealed a hypervascular subdermal mass that was 2 cm in diameter. The lesion arose from the dermis and extended into the subcutaneous tissue. It was totally excised under local anesthesia. The histopathologic diagnosis was a glomangioma. The patient has been symptom free in the 2 months of follow-up.
Glomus tumors should be kept in mind in the differential diagnosis of painful subdermal mass. Surgical excision of the lesion with a sufficient margin of surrounding normal tissue not only achieves the exact diagnosis but also results in adequate treatment. In case of the presence of malignant features, a wide excision is needed with a close follow-up of patient for regional or distant metastases.
血管球瘤可发生于身体的任何部位，但在髋部极为罕见。
报道截至目前第八例髋部血管球瘤病例。
这是一篇病例报告及文献综述。
一名68岁男性，右髋部出现严重疼痛及压痛，尤其是触诊和坐位时。体格检查发现右髋部可触及一个柔软的皮下肿块，并有严重压痛。超声显示一个直径2厘米的皮下高血管性肿块。病变起源于真皮并延伸至皮下组织。在局部麻醉下将其完整切除。组织病理学诊断为血管球血管瘤。患者在随访的2个月中无症状。
在鉴别诊断疼痛性皮下肿块时应考虑血管球瘤。手术切除病变并保留足够的周围正常组织边缘，不仅能明确诊断，还能达到充分治疗的目的。若存在恶性特征，则需要广泛切除，并密切随访患者有无局部或远处转移。
