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