Instituto Aliaga, Centro Médico Teknon, Barcelona, Spain; Department of Anesthesiology, Critical Care and Pain Medicine, Hospital Clínic de Barcelona, University of Barcelona, Spain.
Instituto Aliaga, Centro Médico Teknon, Barcelona, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2024 Apr;71(4):339-343. doi: 10.1016/j.redare.2024.02.021. Epub 2024 Feb 27.
Glomus tumors are a rare, benign neoplasm arising from the neuroarterial structure known as the glomus body, which is a specialized arteriovenous shunt involved in temperature regulation. They account for less than 2% of soft tissue tumors and between 1% and 4.5% of tumors in the hand.. Despite their first descriptions appearing almost 100 years ago, late and missed diagnoses are common, leading to significant suffering. The classic diagnostic triad includes spontaneous pain, a sensation of pressure and tenderness, and cold hypersensitivity. Magnetic resonance imaging remains the most useful imaging modality. The abolition of pain after inflating a blood pressure cuff above the systolic blood pressure level (ischemia test) is highly diagnostic.Therefore, we suggest the routine use of this simple test in cases of upper limb pain of unclear etiology . Surgical excision is the treatment of choice and is curative.
血管球瘤是一种罕见的良性肿瘤，起源于神经-动脉结构，称为血管球，是参与体温调节的一种特殊动静脉分流。它们占软组织肿瘤的不到 2%，占手部肿瘤的 1%至 4.5%。尽管它们的首次描述几乎在 100 年前就出现了，但晚期和漏诊仍很常见，导致严重的痛苦。经典的三联征包括自发性疼痛、压迫感和压痛以及冷过敏。磁共振成像仍然是最有用的成像方式。在血压袖带充气至收缩压以上水平（缺血试验）后疼痛消失具有高度的诊断价值。因此，我们建议在不明原因的上肢疼痛病例中常规使用这种简单的试验。手术切除是首选的治疗方法，可治愈。
