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一个15年的谜团解开了:一个被误诊为皮炎的大型骨内血管球瘤。

A 15-year mystery resolved: a large bone-boring glomus tumor mistaken as dermatitis.

作者信息

Bouayyad Sarah, Abdelaty Mohamed, Mishra Anuj

机构信息

Plastic Surgery and Burns, Whythenshaw Hospital, Manchester, UK.

出版信息

J Surg Case Rep. 2020 Feb 19;2020(2):rjaa013. doi: 10.1093/jscr/rjaa013. eCollection 2020 Feb.

Abstract

Glomus tumor (GT) is a rare, benign neoplasm of the glomus apparatus. Being most common in the subungual region, it often misdiagnosed with dermatological conditions. Severe tenderness, paroxysmal pain and cold intolerance symptomatically denote GT. Clinical tests such as Love's pin test and Hildreth's test assist in diagnosing the disease. X-ray, ultrasonography and magnetic resonance imaging can confirm the severity of the lesion. Complete surgical excision is the only treatment available for these subcutaneous nodules. A middle-aged male with a hand pain, who misdiagnosed for dermatitis over 15-year period, has identified as having a large bone-boring GT. Awareness of GT among healthcare professionals is a must to increase the quality of life of patients.

摘要

血管球瘤(GT)是一种罕见的血管球器官良性肿瘤。它最常见于甲下区域,常被误诊为皮肤病。严重压痛、阵发性疼痛和冷不耐受是血管球瘤的典型症状。洛夫针试验和希尔德雷思试验等临床检查有助于诊断该病。X线、超声和磁共振成像可确认病变的严重程度。完整的手术切除是治疗这些皮下结节的唯一方法。一名手部疼痛的中年男性,在15年的时间里被误诊为皮炎,现已确诊患有一个大的骨内血管球瘤。医疗保健专业人员必须了解血管球瘤,以提高患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e14/7031057/1bb0158dfb57/rjaa013f1.jpg

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