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腹股沟血管平滑肌脂肪瘤的冷冻消融:病例报告。

Cryoablation of an Inguinal Angiomyomatous Hamartoma: A Case Report.

机构信息

From the Department of Anesthesiology, Division of Pain Medicine.

Department of Anesthesiology, Division of Regional Anesthesia and Acute Pain Medicine, University of California, San Diego, San Diego CA.

出版信息

A A Pract. 2021 Jun 24;15(7):e01492. doi: 10.1213/XAA.0000000000001492.

Abstract

Angiomyomatous hamartomas are mixed-tissue benign lymphatic tumors that typically occur in the inguinal or axillary lymph nodes. These lesions may cause local lymphedema and painful compression neuralgias. Ultrasound-guided percutaneous cryoablation is an interventional technique that has been shown to provide sustained pain relief for peripheral neuropathies and neuralgias. Previously, our group published a case report of a patient with an inguinal angiomyomatous hamartoma causing a compression neuralgia, whose pain was temporarily alleviated after blockade of the femoral branch of the genitofemoral nerve. We present a follow-up case report describing this patient's sustained pain relief after cryoablation therapy.

摘要

血管平滑肌脂肪瘤是一种混合组织良性淋巴肿瘤,通常发生在腹股沟或腋窝淋巴结。这些病变可引起局部淋巴水肿和疼痛性压迫性神经痛。超声引导下经皮冷冻消融术是一种介入技术,已被证明可长期缓解周围神经病变和神经痛。先前,我们小组发表了一份病例报告,报告了一名患有腹股沟血管平滑肌脂肪瘤导致压迫性神经痛的患者,其疼痛在生殖股神经股支阻滞后暂时缓解。我们提出了一个随访病例报告,描述了该患者冷冻消融治疗后的持续疼痛缓解。

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