Saiyed Shahnoor Ruhulamin, Mwanga Daniel R, Ashir Abdel, Sadiq Abid M, Sadiq Adnan M, Temu Rogers J
Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.
Department of Orthopedics and Trauma, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania.
Radiol Case Rep. 2025 Mar 15;20(6):2666-2670. doi: 10.1016/j.radcr.2025.02.052. eCollection 2025 Jun.
Glomus tumors are rare benign hamartomas, primarily small growths, found in the dermis or subcutaneous tissue, arising from modified glomus cells, which are distributed throughout the body, with a particularly high concentration in the subungual area of the fingers. This case reports a middle-aged man with persistent pain in the tip of his left ring finger for the past 5 years. With ideal imaging, the tumor was identified and surgically excised, and the patient is currently asymptomatic. Despite its presentation as a faint bluish-purple papule with the classic triad of cold hypersensitivity, paroxysmal pain, and point tenderness, it is often missed by clinicians and diagnosed late. With magnetic resonance imaging being the gold standard, the only resolution to pain relief is the complete excision of the tumor. Glomus tumors have been defined and estimated to be a few but significant part of hand tumors; however, in Africa, the prevalence is minimal and clinicians may be unaware of the presentation.
血管球瘤是罕见的良性错构瘤，主要为小的肿物，位于真皮或皮下组织，由改良的血管球细胞产生，这些细胞遍布全身，在手指的甲下区域浓度尤其高。本病例报告了一名中年男性，在过去5年里左手无名指指尖持续疼痛。通过理想的影像学检查发现了肿瘤并进行了手术切除，患者目前无症状。尽管其表现为淡蓝紫色丘疹，具有冷过敏、阵发性疼痛和压痛点的典型三联征，但临床医生常漏诊且诊断较晚。磁共振成像为金标准，缓解疼痛的唯一解决办法是完整切除肿瘤。血管球瘤已被定义，估计是手部肿瘤中数量不多但很重要的一部分；然而，在非洲，其患病率极低，临床医生可能不了解其表现。
