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外侧手术入路治疗复发性低的甲下血管球瘤：单中心病例系列

Lateral Surgical Approach for Subungual Glomus Tumors With Low Recurrence Rates: A Single-Center Case Series.

作者信息

Martínez-Mejorada Roberto, García-González Gabriel, Curiel-Rivas Alejandro, de la Garza-Kalife David A, Franco Márquez Rodolfo, Ochoa-Cortez Melissa F, Castro-Govea Yanko, García-Pérez Mauricio M

机构信息

Plastic and Reconstructive Surgery, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

Human Anatomy, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

出版信息

Cureus. 2025 Jun 12;17(6):e85869. doi: 10.7759/cureus.85869. eCollection 2025 Jun.

DOI:10.7759/cureus.85869
PMID:40656308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255482/
Abstract

INTRODUCTION

Glomus tumors are rare benign mesenchymal neoplasms typically presenting as small, painful, blue-red nodules with cold sensitivity. Surgical excision with complete removal of the tumor capsule is the standard treatment for benign glomus tumors. Recurrence is uncommon but can occur if the tumor is not fully excised.

METHODS

This retrospective, single-center case series includes a sample of 24 patients with glomus tumors treated surgically between 2017 and 2023 by the Department of Plastic and Reconstructive Surgery at the Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico.

RESULTS

Glomus tumors were more common in women (n=18, 75%), and affected the left hand in 17 cases (70.8%) and the subungual region in 11 cases (45.8%). The thumb and index digits were the most frequently affected, while the third and fifth were the least. The average duration of symptoms before diagnosis was 2.9 years. A single case had a history of recurrence, in which the participant had been previously treated at another facility before we performed the second resection.

CONCLUSION

A lateral surgical approach with careful matriectomy was effective in most cases, with minimal recurrence. The case with previous recurrence underscores the importance of complete excision.

摘要

引言

血管球瘤是一种罕见的良性间叶性肿瘤，通常表现为小的、疼痛性的、蓝红色结节，对冷敏感。完整切除肿瘤包膜的手术切除是良性血管球瘤的标准治疗方法。复发并不常见，但如果肿瘤未完全切除则可能发生。

方法

本回顾性单中心病例系列包括2017年至2023年期间墨西哥蒙特雷何塞·埃莱乌特里奥·冈萨雷斯大学医院整形与重建外科手术治疗的24例血管球瘤患者样本。

结果

血管球瘤在女性中更为常见（n = 18，75%），17例（70.8%）累及左手，11例（45.8%）累及甲下区域。拇指和示指最常受累，而中指和小指最少受累。诊断前症状的平均持续时间为2.9年。有1例有复发史，该患者在我们进行第二次切除之前曾在另一家机构接受过治疗。

结论

大多数情况下，采用外侧手术入路并仔细进行基质切除术是有效的，复发率极低。先前复发的病例强调了完整切除的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/1e67b53125d7/cureus-0017-00000085869-i12.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/1e67b53125d7/cureus-0017-00000085869-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/3f212a1188ff/cureus-0017-00000085869-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/8e8fc8fa73de/cureus-0017-00000085869-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/de973377d37b/cureus-0017-00000085869-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/3df22d24134c/cureus-0017-00000085869-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/38a9aec28470/cureus-0017-00000085869-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/a99b4aec9081/cureus-0017-00000085869-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/16504d44224c/cureus-0017-00000085869-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/06b5efc1caa1/cureus-0017-00000085869-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/e18645c7d6b8/cureus-0017-00000085869-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/247aab314caa/cureus-0017-00000085869-i10.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092d/12255482/1e67b53125d7/cureus-0017-00000085869-i12.jpg

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