罕见病例：胸壁血管球瘤致腋窝痛：病例报告及文献复习。
An unusual case of chest wall glomus tumor presenting with axillary pain: a case report and literature review.
机构信息
Orthopedic Surgery Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Joint Reconstruction Research Center, Orthopedic Surgery Department, End of Keshavarz Blvd, Imam Khomeini Hospital, Tehran University of Medical Sciences, 1419733141, Tehran, Iran.
出版信息
Eur J Med Res. 2021 May 25;26(1):49. doi: 10.1186/s40001-021-00518-6.
BACKGROUND
Glomus tumor is an uncommon soft tissue tumor. However, as the tumor causes significant disability, its early diagnosis is essential. It involves subungual areas of fingers and toes in most cases, and its extra-digital involvement is rarely seen. To the best of the authors' knowledge, only a few chest wall involvement cases have been reported in the literature.
CASE PRESENTATION
In this paper, we describe a 63-year-old patient with a chest wall glomus tumor presenting with axillary paroxysmal pain and limitation in his shoulder range of motion that had been missed for nearly 15 years. His symptoms were relieved immediately following surgical excision.
CONCLUSION
Glomus tumors may involve any part of the human body. It is curable with surgical excision in most cases. Therefore, a correct early diagnosis has paramount importance. A high index of suspicion is needed for early diagnosis, especially when the tumor involves uncommon anatomic areas.
背景
血管球瘤是一种不常见的软组织肿瘤。然而，由于该肿瘤会导致显著的残疾，因此早期诊断至关重要。它主要涉及手指和脚趾的甲下区域，很少涉及指（趾）外部位。据作者所知，文献中仅报道过少数几例胸壁受累的病例。
病例介绍
本文描述了一例 63 岁患者，其胸壁血管球瘤表现为腋窝阵发性疼痛和肩关节活动范围受限，这些症状已持续近 15 年而被漏诊。手术切除后，患者症状立即缓解。
结论
血管球瘤可发生于人体的任何部位。在大多数情况下，通过手术切除可以治愈。因此，早期正确诊断至关重要。当肿瘤涉及不常见的解剖区域时，需要高度怀疑以进行早期诊断。
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