Takanashi Noboru, Asai Satomi, Ogase Yoko, Fujii Akiko, Atsumi Haruyo, Doi Mika, Kumaki Nobue, Mabuchi Tomotaka, Miyachi Hayato
Department of Clinical Laboratory Technology, Tokai University Hospital, 143 Shimokasuya, Isehara, Kanagawa 259-1196, Japan.
Department of Laboratory Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1196, Japan.
Dermatol Res Pract. 2023 Jul 26;2023:7126799. doi: 10.1155/2023/7126799. eCollection 2023.
Glomus tumours are painful superficial tumours, and ultrasonography is an extremely useful and noninvasive diagnostic technique for superficial organs. In this study, we retrospectively examined glomus tumours using ultrasonography. Among 18 patients histopathologically diagnosed with glomus tumours via ultrasonography, we observed five different development sites: subungual areas or those surrounding the nail bed (12), other areas on the finger surface (3), abdominal wall (1), upper arm (1), and forearm (1). The ultrasonographic images revealed significant differences in tumour size, indicating that tumours on other body surfaces tended to be smaller than those on patients' fingers ( < 0.01). The depth/width ratios of tumours on the other body surfaces were significantly higher than those on the fingers ( < 0.05). The tumours showed a regular shape (72.2%) and clear border (100%). Furthermore, most tumours were low-echo tumours with a diameter of up to 15 mm, clear margins, and no lateral shadows. Abundant blood flow and vessels in and out of the tumours were also observed. In conclusion, our study describes the ultrasonographic characteristics of glomus tumours and reveals that they cannot be ruled out when diagnosing small painful subcutaneous tumours.
血管球瘤是疼痛性浅表肿瘤,超声检查是用于浅表器官的一种极其有用且无创的诊断技术。在本研究中,我们使用超声检查对血管球瘤进行了回顾性研究。在18例经组织病理学诊断为血管球瘤的患者中,我们观察到五个不同的发病部位:甲下区域或甲床周围区域(12例)、手指表面其他区域(3例)、腹壁(1例)、上臂(1例)和前臂(1例)。超声图像显示肿瘤大小存在显著差异,表明身体其他表面的肿瘤往往比患者手指上的肿瘤小(<0.01)。身体其他表面肿瘤的深度/宽度比显著高于手指上的肿瘤(<0.05)。肿瘤呈规则形状(72.2%)且边界清晰(100%)。此外,大多数肿瘤为低回声肿瘤,直径达15毫米,边缘清晰,无侧方声影。还观察到肿瘤内有丰富的血流以及进出肿瘤的血管。总之,我们的研究描述了血管球瘤的超声特征,并表明在诊断小的疼痛性皮下肿瘤时不能排除血管球瘤。