Division of Hand Surgery, Mayo Clinic, Rochester, Minnesota.
Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota.
JBJS Case Connect. 2022 Jul 8;12(3). doi: e22.00166. eCollection 2022 Jul 1.
A 53-year-old man sustained an injury to his left index finger and underwent presumably traumatic neuroma excision from the radial digital nerve 2 years ago. He presented with a painful mass distal to the prior site of neuroma excision with distinctly different symptoms from those that led to his index surgery. Thus, he underwent excisional biopsy of the mass which was adherent to his radial digital nerve consistent with a benign glomus tumor on histologic examination.
Digital nerve glomus tumors are rare. In most of the cases, some portion of the digital nerve requires excision but decreased pain can be expected.
一名 53 岁男性因左食指受伤,2 年前接受桡侧指神经创伤性神经瘤切除术。他在神经瘤切除的原部位远端出现疼痛性肿块,症状与导致其食指手术的症状明显不同。因此,他接受了肿块的切除术,该肿块与他的桡侧指神经粘连,组织学检查符合良性血管球瘤。
指神经血管球瘤罕见。在大多数情况下,部分指神经需要切除,但可以预期疼痛会减轻。