MRI 未见明确肿块的髌前血管球瘤：病例报告。
Prepatellar Glomus Tumor of the Knee without an Identifiable Mass on MRI: A Case Report.
机构信息
Department of Orthopaedic Surgery, NYU Langone Medical Center, New York, New York.
Department of Pathology, NYU Langone Medical Center, New York, New York.
出版信息
JBJS Case Connect. 2021 Apr 14;11(2):01709767-202106000-00025. doi: e19.00433.
CASE
A 71-year-old man presented with extreme anterior knee pain. His history, physical examination, and imaging were consistent with prepatellar bursitis, but his pain seemed out of proportion for these findings. The patient eventually underwent marginal excision of the inflamed prepatellar bursa which histopathology identified as a glomangioma. Postoperatively, he has complete resolution of his pain and has returned to his daily activities.
CONCLUSION
Glomus tumors are a rare cause of severe knee pain that completely resolves after excision. In the patient with extreme, localized knee sensitivity, it is important to consider this pathology even if no mass is identified on imaging.
病例
一名 71 岁男性出现极度前膝痛。他的病史、体格检查和影像学检查均符合髌前囊炎，但他的疼痛似乎与这些发现不成比例。患者最终接受了发炎的髌前滑囊的边缘切除术，组织病理学检查结果为血管球瘤。手术后，他的疼痛完全缓解，已恢复日常活动。
结论
血管球瘤是一种罕见的引起严重膝关节疼痛的原因，切除后可完全缓解。对于极度局限于膝关节且敏感的患者，即使影像学检查未发现肿块，也应考虑这种病理情况。
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