George Susannah M C, Morrison Iain K, Farrant Paul B J, Coburn Peter R
Department of Dermatology, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.
BMJ Case Rep. 2012 Jan 18;2012:bcr1120115152. doi: 10.1136/bcr.11.2011.5152.
Glomus tumours are rare, benign tumours of the glomus body, most frequently located in the subungual region of digits, palms and soles, but they have been reported throughout the body. Our patient is a 65-year-old man who presented with a 3-year history of a very painful area on his left upper arm. The overlying skin was normal and there was no lesion to palpate, but the symptoms were very striking, warranting further investigation. An exploratory operation identified a prominent vein with a noticeable bulge in the vessel wall. The vein was ligated and excised. On dissection of the vein, a tumour was present within its lumen. Histological examination and immune profile of the tumour confirmed an intravascular glomus tumour. Following surgical excision, symptoms resolved.
血管球瘤是一种罕见的血管球瘤体良性肿瘤，最常位于手指、手掌和足底的甲下区域，但全身各处均有报道。我们的患者是一名65岁男性，左上臂有一个非常疼痛的区域，病史长达3年。其上覆盖的皮肤正常，触诊未发现病变，但症状非常明显，需要进一步检查。一次探查手术发现一条突出的静脉，血管壁有明显隆起。该静脉被结扎并切除。对静脉进行解剖时，在其管腔内发现一个肿瘤。肿瘤的组织学检查和免疫特征证实为血管内血管球瘤。手术切除后，症状消失。
