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颅内软组织球瘤(血管球瘤)年轻女性患者。病例报告并文献复习。

Intracranial soft-tissue glomus tumor (glomangioma) in a young-woman. A case report and review of the literature.

出版信息

Ann Ital Chir. 2020 Nov 30;91:S2239253X20033137.

Abstract

BACKGROUND

Glomus tumors, or glomangiomas, are benign vascular tumors typically seen at distal extremities. These tumors differ from paragangliomas and classically present in the female population between the 4th and 5th decade. Intracranial localizations have not been described in literature in the adult population.

CASE DESCRIPTION

We present a case of a 32 year-old woman with a 3 months history of progressive left-sided visual loss and headache. A pre-operative MRI showed a homogeneously enhancing lesion extending from the left cavernous sinus to middle cranial fossa at first suspected to be a cavernous sinus meningioma. Eventually, histopathological analysis concluded for a glomangioma diagnosis. Post-operative RT was also performed.

CONCLUSIONS

From our experience it is very important for clinical management considering glomangiomas in differential diagnosis of a homogeneously enhancing extra axial mass. Subtotal resection followed by radiation therapy determined no recurrence of the disease up to 7 years.

KEY WORDS

Glomangioma, Glomus tumor, Soft-tissue tumor.

摘要

背景

指状球瘤,又称血管球瘤,是一种良性血管肿瘤,通常见于四肢远端。这些肿瘤与副神经节瘤不同,通常发生在 40 至 50 岁的女性人群中。文献中尚未描述成人颅内的此类肿瘤。

病例描述

我们报告了一例 32 岁女性患者,其病史为渐进性左侧视力丧失和头痛,3 个月。术前 MRI 显示一个均匀强化的病变,从左侧海绵窦延伸至中颅窝,最初怀疑为海绵窦脑膜瘤。最终,组织病理学分析得出了血管球瘤的诊断。术后还进行了放射治疗。

结论

根据我们的经验,对于均一强化的颅外肿块的鉴别诊断,考虑到血管球瘤,这对临床管理非常重要。次全切除加放疗后,疾病在 7 年内无复发。

关键词

血管球瘤,指状球瘤,软组织肿瘤。

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