Shin Dong-Keun, Kim Min-Su, Kim Sang-Woo, Kim Seong-Ho
Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.
J Korean Neurosurg Soc. 2010 Aug;48(2):185-7. doi: 10.3340/jkns.2010.48.2.185. Epub 2010 Aug 31.
A 52-year-old female patient presented with an 8-year history of progressively intense pain, cold sensitivity, and severe tenderness to palpation of the ulnar side of the tip of her right little finger. Subsequent diagnostic evaluation with ultrasonographic imaging revealed the presence of a glomus tumor in the tender area. Glomus tumors are benign, occurring in the vascular hamartomatous tubercles of the glomus body, which is a myoarterial apparatus typically found in the reticular dermis of the skin. Distal glomus tumors are relatively uncommon, and account for approximately 1% of all hand tumors. Most of them are located in the subungual area because of its high concentration of glomus bodies. We report a case of a glomus tumor with a typical triad of symptoms, yet with a rare location : on the pulp of the ulnar aspect of the distal phalanx of the right little finger.
一名52岁女性患者，有8年病史，表现为右小指尖尺侧疼痛逐渐加剧、对冷敏感以及触诊时有严重压痛。随后的超声成像诊断评估显示，压痛部位存在一个血管球瘤。血管球瘤是良性的，发生于血管球的血管错构瘤结节，血管球是一种肌动脉装置，通常位于皮肤网状真皮层。远端血管球瘤相对少见，约占所有手部肿瘤的1%。它们大多位于甲下区域，因为该区域血管球高度集中。我们报告一例具有典型三联征症状，但位置罕见的血管球瘤病例：位于右小手指末节指骨尺侧的指腹。
