Rkiba Zakaria, Rafai Mohamed, Rajaallah Abdessamad, Elkassimi Charafeddine, Garch Abdelhak
Orthopedic Department P32, University Hospital Ibn Rochd., Morocco; Faculty of Medicine & Pharmacy of Casablanca, Morocco.
Orthopedic Department P32, University Hospital Ibn Rochd., Morocco; Faculty of Medicine & Pharmacy of Casablanca, Morocco.
Int J Surg Case Rep. 2021 Feb;79:413-416. doi: 10.1016/j.ijscr.2021.01.050. Epub 2021 Jan 19.
Glomangiosarcoma or is an extremely rare tumor. Few cases are published in the literature.
We present a rare case of 64-year-old female patient presented small reddish subcutaneous nodules on the sole of the foot. Surgical resection revealed malignant glomus, the evolution was marked by an infiltrating local recurrence leading to amputation, without notable metastases after six months.
Malignant glomus tumor exhibit unusual characteristics, notably deep localization, large size and infiltration, mitotic activity, nuclear pleomorphism and mitonecrosis. The wide excision and possible amputation for infiltrating local type unresecable was the adequate treatment.
Glomangiosarcoma arinsing de novo are exceedingly rare and must be considered the most aggressive and with high potential risk of metastasis.
血管球肉瘤极为罕见。文献中报道的病例很少。
我们报告一例罕见病例,一名64岁女性患者足底出现小红皮下结节。手术切除显示为恶性血管球瘤,病程以浸润性局部复发导致截肢为特征,6个月后无明显转移。
恶性血管球瘤具有不寻常的特征,尤其是深部定位、体积大、浸润、有丝分裂活性、核多形性和有丝分裂坏死。对于浸润性局部不可切除类型,广泛切除并可能截肢是适当的治疗方法。
原发性血管球肉瘤极为罕见,必须被视为最具侵袭性且转移风险高的肿瘤。