Khan Muhammad Salman, Sohail Amir Humza, Hilal Kiran, Maan Muhammad Hassaan Arif
Department of Radiology, Aga Khan University, Karachi, Pakistan.
Department of Surgery, New York University Winthrop Hospital, New York, United States.
Int J Angiol. 2020 Dec;29(4):267-271. doi: 10.1055/s-0039-1694059. Epub 2019 Aug 6.
The cells in glomus body regulate blood flow to the skin and play a role in temperature regulation. Glomuvenous malformations (GVMs), previously reported in literature as glomus tumors or glomangiomas, are usually present in the nail bed. In 1972, Carroll and Berman described the triad of paroxysmal stabbing pain, point tenderness, and cold hypersensitivity associated with these malformations. We present an unusual case of GVM in the neck of a 17-year-old female presenting with a painful right-sided neck mass. Physical examination revealed an approximately 2.5 × 2 cm right-sided tender neck mass; pain was exacerbated by probing with a pinhead. Computed tomography identified multiple rounded masses in the neck, with the delayed contrast filling. The patient underwent excisional biopsy of the lesion and samples were sent for histopathological examination. The histopathology report, along with the radiological findings and the clinical presentation, confirmed the diagnosis of GVM. The patient remained symptom-free on long-term follow-up. Despite absence of previous reports, GVM can occur in neck. Surgical excision can lead to complete resolution of symptoms.
球状体中的细胞调节皮肤的血流，并在体温调节中发挥作用。静脉球畸形（GVMs），以前在文献中被报道为球瘤或血管球瘤，通常出现在甲床。1972年，卡罗尔和伯曼描述了与这些畸形相关的阵发性刺痛、压痛点和冷过敏三联征。我们报告一例罕见的17岁女性颈部GVM病例，表现为右侧颈部疼痛性肿块。体格检查发现右侧颈部有一个约2.5×2 cm的压痛性肿块；用针头探查会加重疼痛。计算机断层扫描显示颈部有多个圆形肿块，延迟期有造影剂填充。患者接受了病变切除活检，样本送去做组织病理学检查。组织病理学报告，连同放射学检查结果和临床表现，证实了GVM的诊断。长期随访中患者无症状。尽管以前没有相关报道，但GVM可发生于颈部。手术切除可使症状完全缓解。
