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血管球瘤的管理:来自印度一家三级医疗中心的经验。

Management of Glomus Tumors: Experience From a Tertiary Care Centre in India.

作者信息

Choudhary Nitin, Gupta Archi, Narangyal Akash, Dev Bias, Gupta Sanjeev

机构信息

Orthopedics, Government Hospital for Bone and Joint Surgery, Jammu, IND.

Radiology, Government Medical College and Hospital, Jammu, Jammu, IND.

出版信息

Cureus. 2025 Jun 17;17(6):e86227. doi: 10.7759/cureus.86227. eCollection 2025 Jun.

DOI:10.7759/cureus.86227
PMID:40677437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12270191/
Abstract

BACKGROUND

Glomus tumors are uncommon soft tissue tumors that typically develop in the distal extremities, especially the finger's subungual area. Pain, soreness, and temperature intolerance, particularly cold sensitivity, make up its traditional clinical triad. There is a relative rarity in the literature on this topic, and we have analyzed and thereby discussed our experience in these cases.

METHODS

A retrospective cross-sectional study was performed at a tertiary care centre in Jammu, India. All patients diagnosed with glomus tumor from October 2022 to August 2024 were included in the study. Conventional radiographs, ultrasonography (USG), and MRI were the investigation modalities used for diagnosis. Tumors excised were sent for histopathological examination (HPE) for pathological diagnosis.

RESULTS

A total of 11 cases of glomus tumor were diagnosed from October 2022 to August 2024, and the relevant demographic and clinical data were reported. Out of 11 cases, nine (81.8%) were located in the nail bed, while two (18.2%) were located in the volar pulp. Pain was present in almost all the cases, while a lump was visible in only one case of volar pulp tumor. There was a considerable delay in diagnosis in the majority of cases. There were no cases of recurrence.

CONCLUSION

Due to their rarity, glomus tumors are frequently overlooked by clinicians due to a lack of a strong index of suspicion, which typically results in treatment being delayed. Once identified, glomus tumors can be effectively treated with complete excision.

摘要

背景

血管球瘤是一种罕见的软组织肿瘤,通常发生在四肢远端,尤其是手指的甲下区域。疼痛、压痛和温度不耐受,尤其是对寒冷敏感,构成了其传统的临床三联征。关于这个主题的文献相对较少,我们分析并讨论了我们在这些病例中的经验。

方法

在印度查谟的一家三级医疗中心进行了一项回顾性横断面研究。纳入2022年10月至2024年8月期间所有诊断为血管球瘤的患者。采用传统X线摄影、超声(USG)和MRI进行诊断。切除的肿瘤送去做组织病理学检查(HPE)以进行病理诊断。

结果

2022年10月至2024年8月共诊断出11例血管球瘤,并报告了相关的人口统计学和临床数据。11例中,9例(81.8%)位于甲床,2例(18.2%)位于掌侧指腹。几乎所有病例都有疼痛,而只有1例掌侧指腹肿瘤可见肿块。大多数病例诊断有相当延迟。无复发病例。

结论

由于血管球瘤罕见,临床医生常因缺乏高度怀疑指数而忽视,这通常导致治疗延迟。一旦确诊,血管球瘤可通过完整切除有效治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/33498edc641a/cureus-0017-00000086227-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/cb160241835d/cureus-0017-00000086227-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/51488b9c9bec/cureus-0017-00000086227-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/d484f9beca52/cureus-0017-00000086227-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/33498edc641a/cureus-0017-00000086227-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/cb160241835d/cureus-0017-00000086227-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/51488b9c9bec/cureus-0017-00000086227-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/d484f9beca52/cureus-0017-00000086227-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7dd/12270191/33498edc641a/cureus-0017-00000086227-i04.jpg

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本文引用的文献

1
Solitary Glomus Tumor on the Base of the Right Thumb: A Rare Case Report and a Literature Review from Saudi Arabia.右拇指基部孤立性球瘤:一例罕见病例报告及来自沙特阿拉伯的文献综述
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