Department of Neurosurgery, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Radiology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Ann Palliat Med. 2021 Aug;10(8):9309-9317. doi: 10.21037/apm-21-1615. Epub 2021 Jul 29.
Glomus tumors are rare lesions that can arise anywhere along the spinal axis. Only 12 cases have been reported. We report a case of a patient with a rare glomangioma of the thoracic spine. Following a review of the 12 previous cases is a discussion of spinal glomus tumors, including clinical presentation, diagnosis, and treatment. A single, recent case arising from the extradural space of the thoracic spine is described, followed by a literature review of spinal glomus tumors. Including our case, 13 cases of glomus tumors have been reported. The mean age at the time of diagnosis was 44.6 years (range, 22-73 years) and the male-to-female (M:F) ratio was 1.17:1. The lesion was located in the cervical spine in 1 patient, the thoracic spine in 7 patients, the lumbar spine in 4 patients, and the sacrum in 1 patient. All the tumors were benign. However, there was 1 report of local recurrence because of incomplete removal. There were no malignant transformations, metastases, or deaths reported, with a mean follow-up of 20.09±28.43 months(range, 2-90 months). Spinal glomus tumors are rare, and the preoperative diagnosis is difficult. An overwhelming majority of glomus tumors are benign and are cured by simple local excision. Patients undergoing complete resection have an excellent long-term prognosis.
血管球瘤是一种罕见的病变，可以发生在脊柱轴的任何部位。只有 12 例报告。我们报告了一例罕见的胸椎管血管球瘤患者。在回顾了 12 例以前的病例后，讨论了脊柱血管球瘤，包括临床表现、诊断和治疗。描述了一例来自胸椎管硬膜外间隙的单一、近期病例，并对脊柱血管球瘤进行了文献复习。包括我们的病例，共报告了 13 例血管球瘤。诊断时的平均年龄为 44.6 岁（范围 22-73 岁），男女比例为 1.17:1。病变位于颈椎 1 例，胸椎 7 例，腰椎 4 例，骶骨 1 例。所有肿瘤均为良性。然而，有 1 例因不完全切除而局部复发的报告。无恶性转化、转移或死亡报告，平均随访时间为 20.09±28.43 个月（范围 2-90 个月）。脊柱血管球瘤罕见，术前诊断困难。绝大多数血管球瘤是良性的，通过单纯局部切除即可治愈。完全切除的患者有极好的长期预后。
