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青少年大腿部罕见的钙化性血管球瘤病例报告。

A rare case of a calcified glomus tumour in the thigh of an adolescent.

机构信息

Department of Pediatric Radiology, University Hospital La Timone-Enfants, Marseille, 264, rue Saint Pierre, 13385, Marseille, France.

出版信息

Pediatr Radiol. 2013 Aug;43(8):1045-8. doi: 10.1007/s00247-013-2640-2. Epub 2013 Feb 17.

Abstract

Glomus tumours are clinically defined by a triad of symptoms, i.e. paroxysmal pain, pinpoint tenderness and hypersensitivity to cold. These tumours typically affect the upper limbs, are small in size, superficially located and mostly found in adults. During a radiologic assessment of an idiopathic scoliosis in a 13-year-old girl, we found a calcified mass lesion in the soft tissue of the proximal thigh. The child was asymptomatic. Complementary exams permitted the definition of an interfascial calcified tumour with a long axis of 50 mm, with an inferior polar soft-tissue component. After excision, the anatomical pathology analysis confirmed the diagnosis of calcified glomus tumour. This clinical and radiologic presentation is particularly uncommon for a glomus tumour, which enriches the range of differential diagnoses of calcified masses in soft tissue.

摘要

血管球瘤的临床特征为三联征,即阵发性疼痛、压痛点及对冷敏感。这些肿瘤通常发生于上肢,体积较小,位置表浅,多见于成年人。在对一名 13 岁女孩特发性脊柱侧凸进行影像学评估时,我们在大腿近端软组织中发现一个钙化的肿块病变。患儿无症状。补充检查明确了一个长径为 50 毫米的筋膜间钙化肿瘤,其下方有软组织成分。切除后,解剖病理学分析证实了钙化血管球瘤的诊断。这种临床表现和影像学表现对于血管球瘤来说特别罕见,丰富了软组织钙化肿块的鉴别诊断范围。

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