Sbai Mohamed Ali, Benzarti Sofien, Gharbi Wafa, Maalla Riadh
Department of Orthopedic Surgery and Trauma, MT Maamouri Hospital, 8000 Nabeul, Tunisia.
Department of Pharmacology, MT Maamouri Hospital, 8000 Nabeul, Tunisia.
J Orthop Case Rep. 2018 Sep-Oct;8(5):22-24. doi: 10.13107/jocr.2250-0685.1192.
GTs are rare, benign tumors, developing from a neuro-myo-arterial structure. Their typical location is in the hand, but they may develop anywhere else. Extra-digital glumus tumors GTs, like the location in the thigh, are rare and much more difficult to diagnose. They are usually misdiagnosed and unproperly treated, due to the absence of the typical symptoms.
We report a case of a GT of the thigh in a 25-year-old female, presenting with a painful mass on the posterior side of her left thigh, evolving for 15 months. She was suffering from pain and hyperesthesia of the underlying skin exacerbated by movements. The patient was successfully treated by excisional biopsy.
Gts of the thigh represent an exceptional location of extra-digital Gts, very rare themselves. Pain, hypersensitivity to cold, and severe amyotrophy should raise suspicion for Gts. Through this case we discuss the diagnostic difficulties and the treatment of extra-digital Gts.
血管球瘤是一种罕见的良性肿瘤,由神经 - 肌肉 - 动脉结构发育而来。其典型位置在手,但也可能在其他任何部位发生。指外血管球瘤,如发生在大腿的情况,非常罕见且更难诊断。由于缺乏典型症状,它们通常被误诊和治疗不当。
我们报告一例25岁女性大腿血管球瘤病例,患者左大腿后侧出现疼痛性肿块,病程15个月。她因活动而出现肿块下方皮肤疼痛和感觉过敏。患者通过切除活检成功治愈。
大腿血管球瘤是指外血管球瘤的一个特殊部位,其本身就非常罕见。疼痛、对寒冷过敏和严重肌萎缩应引起对血管球瘤的怀疑。通过这个病例,我们讨论了指外血管球瘤的诊断困难和治疗方法。