Fitzhugh Valerie A, Beebe Kathleen S, Wenokor Cornelia, Blacksin Marcia
Department of Pathology and Laboratory Medicine, Rutgers, the State University of New Jersey-New Jersey Medical School, 185 South Orange Avenue, Newark, NJ, 07103, USA.
Department of Orthopaedics, Rutgers, the State University of New Jersey-New Jersey Medical School, Newark, NJ, USA.
Skeletal Radiol. 2017 Oct;46(10):1427-1433. doi: 10.1007/s00256-017-2697-3. Epub 2017 Jun 27.
Glomangiomatosis is a benign vascular variant of a glomus tumor. The lesion represents only 5% of glomus tumors with unusual or atypical features and even fewer glomus tumors with typical features. The lesions are most commonly located in the distal extremities and are multiple, deep, extensive, and often pain producing. They develop from small arteriovenous anastamoses and are most often identified in young adults. The lesions may recur. We present a case of a 33-year-old male who presented clinically with multiple slowly enlarging masses of the leg over a 5-year period, of which one caused significant pain. One of the lesions was reported to be present at birth. Imaging studies were performed and were suggestive of neurofibromatosis. Biopsies from multiple lesions led to an eventual diagnosis of multiple glomangiomatosis.
血管球瘤病是血管球瘤的一种良性血管变异型。该病变仅占具有不寻常或非典型特征的血管球瘤的5%,具有典型特征的血管球瘤则更少。病变最常位于四肢远端,为多发、深部、广泛且常引起疼痛。它们由小动静脉吻合支发展而来,最常见于年轻人。病变可能复发。我们报告一例33岁男性患者,其在5年期间临床上出现腿部多个缓慢增大的肿块,其中一个引起明显疼痛。据报告其中一个病变在出生时就已存在。进行了影像学检查,提示为神经纤维瘤病。对多个病变进行活检最终诊断为多发血管球瘤病。