血管球瘤40例临床分析

目的 通过对一组血管球瘤患者的回顾,进一步了解其临床表现,从而提高诊治水平.方法 回顾性分析从1993年8月-2009年6月在我院治疗的一组血管球瘤患者,记录他们的典型症状、病程、辅助检查情况以及治疗效果.结果 本组共40例血管球瘤患者：男5例,女35例,平均年龄40.8岁.生长部位：甲下31例、指腹8例、手指近节掌侧1例.所有患者均有疼痛和局部触痛,部分患者表现为冷敏感.病程平均6.5年,其中9例患者曾被误诊.Love试验对于诊断及手术定位具有重要作用.B超、MRI对诊断有辅助作用.手术切除是最可靠的治疗方法,术后疼痛症状消失.结论 血管球瘤是一种少见的软组织肿瘤.手术治疗效果良好,但误诊及延误诊断情况较常见.提高对其临床表现的认识进而提高诊断率,可减少症状持续时间,降低医疗费用,提高患者生活质量.

Clinical analysis of glomus tumor:a report of 40 cases

Objective To gain a better understanding of the clinical manifestations of glomus tumor, and to improve the accuracy of diagnosis and treatment by reviewing a group of patients with glomus tumors. Methods 40 patients with glomus tumor who were treated in our hospital between August 1993 and June 2009, were reviewed. Their typical symptoms, the course of disease, the outcomes of assistant examinations, and the therapeutic effect of treatment were all recorded. Results In this study, 40 patients were involved （5 men, 35 women, aged 40.8 on average）. The tumor located at subungual area （n=31）, the finger pulp （n=8）, and the volar side of the proximal phalanx （n= 1）. Pain and localized tenderness occurred in all patients but cold sensitivity was only shown in some patients. The average course of disease was 6.5 years. 9 patients were misdiagnosed before. Love test was important for the diagnosis and the surgery location. B-Ultrasound imaging and MRI supported diagnosis of these glomus tumors. Surgical resection was the most effective treatment through which pain will be eliminated. Conclusions Glomus tumor is rare in soft tissue tumors. The outcomes of surgical treatment are excellent, but misdiagnosis and delayed diagnosis are common. To improve the recognition of its clinical manifestations can increase the accuracy rate of diagnosis for the patients with glomus tumor, shorten the symptom duration, reduce the treatment costs, and improve the life quality of the patients.