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病例报告:相邻手指多发同步疼痛性血管球瘤;多发性血管球瘤综述

A case report: Multiple synchronous pain full glomus tumors in adjacent fingers; a review of multiple glomus tumors.

作者信息

Mazhar Farid Najd, Nasab Omid Mahmoudi

机构信息

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110724. doi: 10.1016/j.ijscr.2024.110724. Epub 2024 Dec 10.

Abstract

INTRODUCTION

Glomus tumors (GTs) are uncommon tumors that often appear as a single lesion in the subungual region. Multiple GT is a rare clinical entity that can be associated with other diseases or in the context of genetic mutations. However, the occurrence of solitary GTs simultaneously has also been reported rarely.

PRESENTATION OF CASE

A 37-year-old lady with a history of cold sensitivity reported having pain in her right middle and ring fingers for several years. All paraclinical examinations were normal, and the patient underwent surgery based on clinical findings suggestive of a possible diagnosis of a GT, and the patient's pain was entirely resolved following tumor excision.

DISCUSSION

GT should always be included in the differential diagnosis for multiple painful lesions.

CONCLUSION

Early diagnosis and appropriate treatment of a GT can prevent bothersome chronic pain for the patient.

摘要

引言

血管球瘤(GTs)是一种罕见的肿瘤,通常表现为甲下区域的单个病变。多发性血管球瘤是一种罕见的临床实体,可与其他疾病相关或存在基因突变情况。然而,同时出现孤立性血管球瘤的情况也鲜有报道。

病例介绍

一名37岁有冷敏感病史的女性报告称,她的右手中指和环指疼痛数年。所有辅助检查均正常,基于提示可能诊断为血管球瘤的临床发现,患者接受了手术,肿瘤切除后患者的疼痛完全缓解。

讨论

对于多个疼痛性病变,鉴别诊断时应始终考虑血管球瘤。

结论

血管球瘤的早期诊断和适当治疗可避免患者出现令人困扰的慢性疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e85/11718283/8fbc52fbf0a4/gr1.jpg

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