Yoneda Azusa, Sugimoto Kazuya, Tsukada Naoki, Okamura Kensuke, Isomoto Shinji, Samoto Norihiro, Tanaka Yasuhito
Orthopaedic Surgeon, Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Vice President, Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Nara, Japan.
J Foot Ankle Surg. 2017 Jul-Aug;56(4):865-867. doi: 10.1053/j.jfas.2017.03.005.
Glomus tumors are painful benign neoplasms. They commonly present in the hand and are mostly solitary lesions. We report a rare case of multiple glomus tumors in the lower leg. Moreover, 1 of the tumors was in the tarsal tunnel. Resection of the tumors resulted in the early diagnosis of glomus tumors and complete symptom relief. Because of its rarity, diagnosing an extradigital glomus tumor is difficult. Recognition of glomus tumors allows for an early diagnosis and resection, and preoperative magnetic resonance imaging helps in the detection of multiple lesions. Before resection, we considered tarsal tunnel syndrome in the differential diagnosis because of the symptoms and location of the tumor. Tarsal tunnel syndrome is a comparatively well-known disease in the foot. When tarsal tunnel syndrome is suspected, a glomus tumor should also be considered in the differential diagnosis.
血管球瘤是疼痛性良性肿瘤。它们通常出现在手部，且大多为孤立性病变。我们报告一例罕见的小腿多发血管球瘤病例。此外，其中一个肿瘤位于跗管内。肿瘤切除实现了血管球瘤的早期诊断并使症状完全缓解。由于其罕见性，诊断指外血管球瘤很困难。认识血管球瘤有助于早期诊断和切除，术前磁共振成像有助于检测多发病变。在切除之前，由于肿瘤的症状和位置，我们在鉴别诊断中考虑了跗管综合征。跗管综合征在足部是一种相对知名的疾病。当怀疑有跗管综合征时，鉴别诊断中也应考虑血管球瘤。
