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上臂血管球瘤

Upper arm glomus tumor.

作者信息

Jamalipour Soufi Ghazaleh, Golabchi Mohammad Rasoul, Sadeghizade Shokouh

机构信息

Imaging and Radiology Department, School of medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Radiol Case Rep. 2024 Aug 27;19(11):5276-5279. doi: 10.1016/j.radcr.2024.07.162. eCollection 2024 Nov.

Abstract

glomus tumors are uncommon, benign vascular growths originating from skin glomus bodies. They typically cause severe, paroxysmal pain triggered by cold, pressure, or touch. Diagnosis can be complex due to mimicry of other conditions, but histopathological examination confirms the presence of glomus cells. In a case study, a 46-year-old woman with an glomus tumor experienced pain and a lump in her left arm. Ultrasound identified a well-circumscribed, heterogeneous, hypoechoic, pedunculated mass with internal vascularity and MRI showed a lobulated soft-tissue mass with skin involvement and polypoid projection, alongside axillary lymphadenopathy and skin thickening. Following an open biopsy that confirmed the diagnosis of a glomus tumor, the patient experienced complete resolution of symptoms after surgical excision, with no recurrence during the 24-month follow-up period.

摘要

血管球瘤并不常见,是起源于皮肤血管球的良性血管性肿物。它们通常会引发由寒冷、压力或触摸所触发的严重阵发性疼痛。由于会模仿其他病症,诊断可能会很复杂,但组织病理学检查可确认血管球细胞的存在。在一项病例研究中,一名患有血管球瘤的46岁女性左臂出现疼痛和肿块。超声检查发现一个边界清晰、不均匀、低回声、有蒂的肿物,内部有血管,磁共振成像显示一个分叶状软组织肿物,累及皮肤并有息肉样突出,同时伴有腋窝淋巴结病和皮肤增厚。在通过开放性活检确诊为血管球瘤后,患者在手术切除后症状完全缓解,在24个月的随访期内无复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5c/11399782/63541b914439/gr1.jpg

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