Yamada Kahoko, Mitsukawa Nobuyuki
Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
J Plast Reconstr Surg. 2024 Jun 7;3(4):175-178. doi: 10.53045/jprs.2023-0027. eCollection 2024 Oct 27.
A 54-year-old woman presented with an anterior neck subcutaneous tumor that had appeared one month prior. Mild tenderness was noted. As a diagnosis was difficult to make based on physical examination and ultrasonography, a magnetic resonance imaging (MRI) scan was performed. Both examinations revealed a 1-cm subcutaneous mass with well-defined margins; the MRI scan was hypointense on T1-weighted images and slightly hyperintense with low point foci on T2-weighted images. Subsequently, an excisional biopsy was performed, and the pathologic diagnosis of glomus tumor was obtained. Glomus tumors usually present as a painful subcutaneous mass beneath the nail bed but may be painless or occur in areas other than the fingers. Because glomus tumors in the neck resemble a variety of diseases, their diagnosis may be delayed. This case highlights the importance of considering glomus tumors as a potential cause of neck subcutaneous tumors.
一名54岁女性出现一个月前出现的颈部前方皮下肿瘤。有轻度压痛。由于根据体格检查和超声检查难以做出诊断，遂进行了磁共振成像（MRI）扫描。两项检查均显示一个边界清晰的1厘米皮下肿块；MRI扫描在T1加权图像上呈低信号，在T2加权图像上呈轻度高信号且有低信号灶。随后进行了切除活检，病理诊断为血管球瘤。血管球瘤通常表现为甲床下疼痛的皮下肿块，但也可能无痛或发生在手指以外的部位。由于颈部的血管球瘤类似于多种疾病，其诊断可能会延迟。本病例强调了将血管球瘤视为颈部皮下肿瘤潜在病因的重要性。
