Woolley Christopher A, Oswald Jessica, Chen Jeffrey
From the Division of Pain Medicine, Department of Anesthesiology, University of California, San Diego, California.
A A Pract. 2019 Nov 15;13(10):373-375. doi: 10.1213/XAA.0000000000001072.
Angiomyomatous hamartoma (AMH) is a rare and benign mixed-tissue tumor of the lymphatic system. The majority of AMH tumors are removed surgically for cosmetic reasons or during workup of lymphadenopathy. There are few reported cases of this condition in the literature; AMH does not cause pain, and there are no published reports of AMH recurring after surgical excision. Here, we report a unique case of inguinal AMH recurring after surgical excision and causing a painful compression neuropathy. Our report also describes the patient's successful but transient response to nonsurgical pain management.
血管肌性错构瘤(AMH)是一种罕见的淋巴系统良性混合组织肿瘤。大多数AMH肿瘤因美容原因或在淋巴结病检查过程中通过手术切除。文献中报道的这种病例很少;AMH不会引起疼痛,也没有关于AMH手术切除后复发的公开报道。在此,我们报告一例腹股沟AMH手术切除后复发并导致疼痛性压迫性神经病变的独特病例。我们的报告还描述了患者对非手术疼痛管理的成功但短暂的反应。