Department of Plastic and Reconstructive Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, 65-1 Kumoh-Dong, Uijongbu 480-135, Republic of Korea.
J Plast Reconstr Aesthet Surg. 2011 Jul;64(7):958-60. doi: 10.1016/j.bjps.2010.11.012. Epub 2010 Dec 15.
Glomus tumour is a rare soft-tissue tumour developing in the hand. As it presents classic symptoms, it is most often diagnosed clinically. Preoperative radiological studies have been used to both determine exact location and size of the tumour as well as distinguish glomus tumour from other benign tumours of neural or non-neural origin. A 44-year-old woman presented with a painful, tender mass around the 4th web and tingling sensation on the fourth finger. Ultrasonography examination revealed a hypervascular mass on the ulnar side of the fourth proximal phalanx. We suspected a vascular tumour compressing the digital nerve and underwent exploratory surgery. Histological examination demonstrated the glomus tumour of the digital nerve. The patient's symptoms disappeared after surgery and there was no recurrence of the tumour at 3 years' follow-up. As glomus tumour can be successfully treated by excision, it is important to suspect the tumour and include it in differential diagnosis.
血管球瘤是一种罕见的发生于手部的软组织肿瘤。由于其具有典型的症状，故通常可通过临床诊断。术前影像学研究已被用于确定肿瘤的确切位置和大小，并将血管球瘤与其他神经源性或非神经源性的良性肿瘤区分开来。一名 44 岁女性因第四指掌侧和第四指刺痛性肿块就诊。超声检查显示第四近节指骨尺侧有一个富血管性肿块。我们怀疑是压迫指神经的血管性肿瘤，于是进行了探查性手术。组织学检查显示为神经血管球瘤。手术后患者症状消失，随访 3 年均未复发。由于血管球瘤可通过切除成功治疗，因此怀疑该肿瘤并将其纳入鉴别诊断非常重要。
