Rahbari Keivan, Farzan Mahmoud, Saffar Hana, Farhoud Amir R
Orthopedics Department, Imam Hospital Complex, Tehran niversity of Medical Sciences, Tehran, Iran.
Department of Pathology, Cancer nstitute, Imam Hospital Complex, Tehran university of Medical Sciences, Tehran, Iran.
Arch Bone Jt Surg. 2020 Jan;8(1):117-120. doi: 10.22038/abjs.2019.35225.1928.
Malignant transformation of glomus tumor is exceedingly rare and most common reported in lower extremity and abdominal viscera. We could find only 6 previous case report of malignant glomus tumor in the hand. Although large and deeply located glomus tumors are considered to be malignant, evidence has shown that most of these cases were clinically benign. These lesions are better considered as glomus tumor of uncertain malignant potential. Due to rarity of malignant glomus tumor, decision for operative treatment must be based on few case reports. In this article we review the literature for malignant glomus tumor of hand and their management, also we report a 49 year-old man with glomus tumor of uncertain malignant potential in thumb who was treated by wide amputation.
血管球瘤的恶性转化极为罕见，最常见于下肢和腹部脏器。我们仅能找到6例先前报道的手部恶性血管球瘤病例。尽管体积较大且位置较深的血管球瘤被认为具有恶性可能，但证据表明这些病例大多在临床上为良性。这些病变最好被视为具有不确定恶性潜能的血管球瘤。由于恶性血管球瘤罕见，手术治疗的决策必须基于少数病例报告。在本文中，我们回顾了手部恶性血管球瘤及其治疗的文献，此外，我们还报告了一名49岁男性，其拇指患有具有不确定恶性潜能的血管球瘤，接受了广泛截肢治疗。
