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指外血管球瘤:一例罕见病例报告。

Extradigital glomus tumor: A rare case report.

作者信息

Al-Janabi Moatasem Hussein, Abdallah Ghina, Deeb Hasan, Melhem Firas, Salloum Rabab

机构信息

Department of Pathology, Cancer Research Center, Tishreen University Hospital, Lattakia, Syria.

Faculty of Medicine, Tishreen University, Lattakia, Syria.

出版信息

Int J Surg Case Rep. 2024 Mar;116:109466. doi: 10.1016/j.ijscr.2024.109466. Epub 2024 Mar 4.

Abstract

INTRODUCTION AND IMPORTANCE

Glomus tumors are benign soft tissue tumors of the glomus body, most regularly found in the sublingual region of the digits, palms, and soles. Extra digital lesions are uncommon and might be difficult to diagnose.

CASE PRESENTATION

We report a rare case of a 38-year-old man who presented with a painful nodule on his right upper arm. A definite diagnosis was made by histopathological study. A complete surgical excision was performed to avoid recurrence.

CLINICAL DISCUSSION

Glomus tumors form less than 2 % of all soft tissue tumors. The tumor was first reported by Wood in 1812. It typically appears like a small blue-red solitary papule in the hand especially the digits, which are the most prevalent location for glomus tumors with an incidence rate of up to 75 %. The histopathology findings of glomus tumor, are three components: glomus cells, vasculature, and smooth muscle cells. The preferred method of treatment is total excision to prevent a recurrence.

CONCLUSION

Eventually, the glomus tumor is fairly a rare benign tumor that physicians should keep in mind as a deferential diagnosis when facing a subcutaneous nodule and don't rule out when the tumor is extradigital.

摘要

引言与重要性

血管球瘤是血管球的良性软组织肿瘤,最常见于手指、手掌和足底的舌下区域。指外病变不常见,可能难以诊断。

病例报告

我们报告一例罕见病例,一名38岁男性,右上臂出现疼痛性结节。通过组织病理学研究做出明确诊断。进行了完整的手术切除以避免复发。

临床讨论

血管球瘤占所有软组织肿瘤的比例不到2%。该肿瘤于1812年由伍德首次报道。它通常表现为手部尤其是手指上的一个小的蓝红色孤立丘疹,这是血管球瘤最常见的部位,发病率高达75%。血管球瘤的组织病理学表现有三个成分:血管球细胞、脉管系统和平滑肌细胞。首选的治疗方法是完全切除以防止复发。

结论

最终,血管球瘤是一种相当罕见的良性肿瘤,医生在面对皮下结节时应将其作为鉴别诊断予以考虑,当肿瘤位于指外时也不应排除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddb/10926113/68b872228c9d/gr1.jpg

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