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慢性手指疼痛的隐匿病因:血管球瘤——一例报告

The hidden cause of chronic finger pain: Glomus Tumor - A Case Report.

作者信息

Bordianu Anca, Zamfirescu Dragos

机构信息

Bagdasar-Arseni Emergency Hospital, Plastic and Reconstructive Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Zetta Clinic, Plastic and Reconstructive Surgery Department, Bucharest, Romania.

出版信息

J Med Life. 2019 Jan-Mar;12(1):30-33. doi: 10.25122/jml-2018-0060.

Abstract

Glomus tumors are frequently associated with pain, tenderness and cold sensitivity. We report the diagnosis and successful surgical management of a case of a classic glomus tumor in a young woman. The clinical diagnosis was made on the basis of medical history and MRI findings. The lesion was excised via a dorsolateral subungual approach, leading to the complete resolution of symptoms. Histology confirmed the lesion to be a glomus tumor. Glomus tumors are painful subungual lesions. They produce a throbbing or lancinating local discomfort, cold-sensitivity, and severe pain following minor trauma. The diagnosis is confirmed by histology, but the clinical diagnosis is highly suggestive. Complete excision will usually relieve pain. Recurrence is common following incomplete resection.

摘要

血管球瘤常伴有疼痛、压痛和冷敏感。我们报告了一例年轻女性经典血管球瘤的诊断及成功的手术治疗。根据病史和磁共振成像(MRI)结果做出临床诊断。通过背外侧甲下入路切除病变,症状完全缓解。组织学检查证实病变为血管球瘤。血管球瘤是引起疼痛的甲下病变。它们会产生搏动性或刀割样局部不适、冷敏感,以及轻微创伤后严重疼痛。组织学检查可确诊,但临床诊断极具提示性。完整切除通常可缓解疼痛。不完全切除后复发很常见。

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