Odom Christopher, Ficke Brooks, Dahlgren Nicholas, Patel Harshadkumar A, Buddemeyer Katherine, Farnell Chason, Shah Ashish, Chaudhari Nileshkumar
Orthopaedic Surgery, University of Alabama at Birmimgham, Birmingham, USA.
Orthopaedic Surgery, Resurgens Orthopaedics, Atlanta, USA.
Cureus. 2018 Jun 13;10(6):e2794. doi: 10.7759/cureus.2794.
Glomus tumors are rare tumors of the arteriovenous junction that play a role in temperature regulation. They are most commonly found in the subungual finger. We present the case of a 77-year-old female with a chief complaint of a painful mass in her ulnar wrist. The differential diagnosis at the time was broad. Following a detailed history and physical exam, the etiology was believed to be that of a peripheral nerve sheath tumor. The patient was taken to the operating room for resection and biopsy of the mass. Histological evaluation confirmed that the mass was a glomus tumor. Our patient's symptoms had completely resolved and functional status had improved to baseline by the time of her two-week postoperative clinic visit. This case report demonstrates the many complexities in the diagnosis of a glomus tumor and the important role of surgical treatment in obtaining relief from extradigital glomus tumors.
血管球瘤是动静脉交界处的罕见肿瘤,在体温调节中起作用。它们最常见于手指指甲下。我们报告一例77岁女性,主要症状为尺侧腕部疼痛性肿块。当时的鉴别诊断范围很广。经过详细的病史询问和体格检查,病因被认为是周围神经鞘瘤。患者被送往手术室进行肿块切除和活检。组织学评估证实肿块为血管球瘤。在术后两周门诊随访时,我们患者的症状已完全缓解,功能状态已改善至基线水平。本病例报告展示了血管球瘤诊断中的诸多复杂性以及手术治疗在缓解指外血管球瘤方面的重要作用。