Muller A
Consultation de la douleur, Département d'anesthésiologie, Hôpitaux Universitaires de Strasbourg, France.
Ann Fr Anesth Reanim. 1997;16(1):61-3. doi: 10.1016/s0750-7658(97)84281-5.
We report three cases of extradigital glomus tumor mimicking neuralgia. The delay between the onset of symptoms and diagnosis ranged from 6 months to more than 10 years. None of the patients had spontaneous pain. Only palpation of a trigger-zone and movements elicited local pain and a sharp neuralgic pain (greater occipital nerve, medial antebrachial cutaneous nerve, obturator nerve). Albeit atypical, such pain features must suggest the diagnosis of glomus tumor, the confirmation of which is only obtained by histologic examination. Complete excision was fully effective in all three cases.
我们报告了3例误诊为神经痛的指外血管球瘤病例。症状出现至诊断的时间间隔为6个月至10年以上。所有患者均无自发痛。仅触压触发区及活动时引发局部疼痛和尖锐的神经痛（枕大神经、前臂内侧皮神经、闭孔神经）。尽管疼痛特征不典型，但必须考虑血管球瘤的诊断，确诊只能通过组织学检查。所有3例患者完整切除后均完全有效。
