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多发性血管球瘤:一种罕见疾病的临床、超声及组织病理学表现

Multiple glomus tumours: Clinical, ultrasonographic and histopathologic findings of a rare disease.

作者信息

Wiese Bárbara, Acevedo Patricia F, Franceschett Rodrigo A, Riedel Leila, Issa Maria Cláudia A

机构信息

Department of Dermatology Fluminense Federal University Rio de Janeiro Brazil.

Department of Pathology Fluminense Federal University Rio de Janeiro Brazil.

出版信息

Skin Health Dis. 2024 Jun 20;4(5):e409. doi: 10.1002/ski2.409. eCollection 2024 Oct.

Abstract

Glomus tumour is a rare benign neoplasm originating from the glomus body, clinically presenting as a violet-coloured, painful nodule more sensitive when exposed to cold or hot. This hamartoma is typically solitary and predominantly affects the limbs, extremities and nail beds. The appearance of multiple tumours and lesions not placed in the extremities is rare and frequently misdiagnosed. At dermoscopy, it appears as a homogeneous, structureless, purplish area surrounded by a whitish region. Skin ultrasound shows a well-defined, round, hypoechoic mass. We report a case of numerous blue-purplish painful nodules distributed in the trunk and arms while sparing the extremities, with typical dermoscopy and ultrasound findings. A biopsy was performed, confirming the diagnosis of glomangioma. We call attention to this rare condition to help dermatologists make this diagnosis when facing multiple painful nodules.

摘要

血管球瘤是一种起源于血管球的罕见良性肿瘤,临床上表现为紫色、疼痛性结节,在接触冷或热时更敏感。这种错构瘤通常为单发,主要累及四肢、末端和甲床。出现多个肿瘤且病变不在四肢的情况罕见,且常被误诊。在皮肤镜检查下,它表现为一个均匀、无结构的紫色区域,周围有白色区域。皮肤超声显示边界清晰的圆形低回声肿块。我们报告一例病例,患者躯干和手臂有许多蓝紫色疼痛性结节,四肢未受累,具有典型的皮肤镜和超声表现。进行了活检,确诊为血管球性血管瘤。我们提请注意这种罕见情况,以帮助皮肤科医生在面对多个疼痛性结节时做出该诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a508/11442046/ff3e584ac9a3/SKI2-4-e409-g002.jpg

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