Uchiyama Mika, Kato Taketo, Kunitani Kohei, Kuwabara Kyoko
Department of General Thoracic Surgery, Komaki City Hospital, Komaki, Japan.
Kyobu Geka. 2011 Feb;64(2):116-9.
We report a case of a 50-year-old man with multiple glomus tumors of the chest wall and buttocks. He was admitted to our hospital because of right chest pain for 10 years. The chest pain was lancinating and gradually increasing. A computed tomography (CT) showed a mass in the right 3rd intercostal space and a mass in the right buttocks. The chest tumor was enhanced with contrast medium on chest CT. Two tumors were resected completely including the 4th rib. Histological examination showed numerous vascular space lined with sheets of epithelial cells (glomus cells), so they were diagnosed as glomus tumor. The postoperative course was well, and the pain disappeared after resection. The glomus tumor of chest wall could be diagnosed as malignant tumor, based on the criteria of the size more than 2 cm and deep location. The glomus tumors which occurred in the chest wall and buttocks were very rare. We presented the case with reference to the literature.
我们报告一例50岁男性，患有胸壁和臀部多发血管球瘤。他因右侧胸痛10年入院。胸痛呈刺痛且逐渐加重。计算机断层扫描（CT）显示右侧第3肋间有一肿块，右侧臀部也有一肿块。胸部CT显示胸部肿瘤在注入造影剂后有强化。两个肿瘤包括第4肋骨被完整切除。组织学检查显示有许多血管腔隙内衬成片的上皮细胞（血管球细胞），因此诊断为血管球瘤。术后恢复良好，切除后疼痛消失。根据肿瘤大小超过2 cm且位置较深的标准，胸壁血管球瘤可诊断为恶性肿瘤。胸壁和臀部发生的血管球瘤非常罕见。我们结合文献介绍了该病例。
