Chen W C, Lee T S, Ku M C, Hsu K C
Department of Orthopaedic Surgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1995 Feb;55(2):163-7.
The glomus tumor is an uncommon tumor of the hand, which presents with much pain. It is a benign neoplasm composed of a glomus body, which is located in the dermis. Glomus tumors present a classic clinical picture of pain, sensitivity to cold and local tenderness over the lesion.
Twelve patients underwent surgical removal for glomus tumors of the upper extremity from 1983 to 1992. There were three males and nine females; their average age was 37 years (25 to 60 years). The clinical manifestations were pain and local tenderness in 12 patients, and cold intolerance in 6 patients.
There was a difference in gender in the anatomical site of the tumor. In three male patients, only one tumor was found in the digit. In female patients, all nine tumors were located in the digits. The average tumor size was 0.6 cm in diameter. After follow-up of 4.5 years (average), no recurrence, no residual pain or cold intolerance was noted.
The treatment of glomus tumor consisted of local excision or curettage, with or without reconstruction of the nail bed. Recurrence is not a problem after complete removal of the tumor tissue. Permanent nail deformity is still a problem. Efforts to prevent this sequelae are worth trying.
血管球瘤是手部一种罕见的肿瘤，常伴有剧痛。它是一种由位于真皮层的血管球构成的良性肿瘤。血管球瘤具有疼痛、对冷敏感以及病变部位局部压痛的典型临床表现。
1983年至1992年期间，12例患者因上肢血管球瘤接受了手术切除。其中男性3例，女性9例；平均年龄为37岁（25至60岁）。12例患者的临床表现为疼痛和局部压痛，6例患者有冷不耐受症状。
肿瘤的解剖部位在性别上存在差异。3例男性患者中，仅1例肿瘤位于手指。女性患者中，9例肿瘤均位于手指。肿瘤平均直径为0.6厘米。平均随访4.5年后，未见复发、残留疼痛或冷不耐受情况。
血管球瘤的治疗包括局部切除或刮除，可选择或不进行甲床重建。完全切除肿瘤组织后复发不是问题。永久性指甲畸形仍是一个问题。预防这种后遗症的努力值得一试。
