Myers Robert S, Lo Adrian K M, Pawel Bruce R
Department of Surgery, Lankenau Hospital, Wynnewood, PA, USA.
Ann Plast Surg. 2006 Oct;57(4):443-6. doi: 10.1097/01.sap.0000222729.59856.e1.
Glomus tumors develop from a thermoregulatory unit called the glomus body which is found in high density within the digits of both the hands and feet. To note, even though less frequently, these tumors can present in extradigital locations. Usually it presents as a small, 1-cm bluish nodule. Glomangioma (multiple glomus tumors) is to be differentiated clinically from the more solitary glomus tumor on the basis of larger size and prominent vascular markings. Although glomangioma is described in literature, the major textbooks of plastic surgery fail to mention it. A report of an unusual case of a large glomangioma in the shoulder of a 13-year-old female is presented. Clinical picture, investigation, surgical treatment, and pathology of this lesion are discussed.
血管球瘤起源于一种称为血管球的体温调节单位，这种结构在手部和足部的指（趾）内高密度分布。需要注意的是，尽管较为少见，但这些肿瘤也可出现在指（趾）外的部位。通常表现为一个1厘米大小的蓝色小结节。临床上，血管球瘤（多发性血管球瘤）需与更为孤立的血管球瘤相鉴别，其依据是前者体积更大且有明显的血管纹。尽管血管球瘤在文献中有描述，但整形外科的主要教科书却未提及。本文报告了一例13岁女性肩部巨大血管球瘤的罕见病例。讨论了该病变的临床表现、检查、手术治疗及病理情况。
