Fazwi Rashdeen, Chandran Patricia Ann, Ahmad T Sara
Department of Orthopaedics, Hospital Tengku Ampuan Afzan, Pahang, Malaysia.
Department of Pathology, Universiti Malaya, Kuala Lumpur, Malaysia.
Malays Orthop J. 2011 Nov;5(3):8-12. doi: 10.5704/MOJ.1111.007.
Glomus tumours (GT), neoplasms of the glomus body comprise 4.5% of upper limb tumours. Seventy-five per cent of these occur in the hand, and most are subungual (50%). We performed a literature review and retrospective search of histopathologically confirmed GT seen from 1995 to 2009. Fifteen patients were identified, with an average age of 49.6 years. Eight were in the hand, 2 in the upper limb, 2 lower limb and 3 in the ear. Eighty-six per cent presented with pain and 50% underwent radiological investigation. Most diagnoses followed biopsy findings. Surgical excision resulted in a recurrence rate of 13%. The average time to diagnosis was 3.3 years. The average duration of symptoms was 7 to 11 years with an average of 2 to 3 consultations prediagnosis. MRI remains the most useful imaging modality (82 to 90% sensitivity). Excision biopsy is the most common treatment. Greater awareness is needed for quicker diagnosis.
Glomus Tumour, Presentation, Imaging, Recurrence.
球瘤（GT）是球状体的肿瘤，占上肢肿瘤的4.5%。其中75%发生于手部，且大多数位于甲下（50%）。我们对1995年至2009年经组织病理学确诊的GT进行了文献回顾和回顾性研究。共确定了15例患者，平均年龄49.6岁。8例位于手部，2例位于上肢，2例位于下肢，3例位于耳部。86%的患者表现为疼痛，50%的患者接受了影像学检查。大多数诊断依据活检结果。手术切除后的复发率为13%。平均诊断时间为3.3年。症状平均持续时间为7至11年，诊断前平均就诊2至3次。MRI仍然是最有用的成像方式（敏感性为82%至90%）。切除活检是最常见的治疗方法。需要提高认识以实现更快的诊断。
球瘤；表现；成像；复发
