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腋窝血管球瘤引起的肩背部慢性疼痛及临床病理观察

Clinicopathological characteristics of chronic shoulder and back pains caused by axillary glomus tumor
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摘要 目的探讨腋窝血管球瘤的临床表现、病理特征、诊断、鉴别诊断、治疗及预后。方法回顾性分析医院2019年1月收治的1例慢性肩背部疼痛经病理确诊为腋窝血管球瘤患者的临床资料、病理结果。结果患者,男,72岁,左肩背部疼痛8年,以左腋窝神经病理性疼痛收住院后行左侧C6脊神经阻滞治疗,疼痛稍可改善,但仍有腋窝触痛(+)。后行肌骨超声提示血管球瘤可能,转入外科行手术切除,术后病理确诊为血管球瘤。结论由腋窝血管球瘤引起的肩背部疼痛病例罕见,缺乏典型的症状体征,诊断困难。提高对非好发部位血管球瘤的认识、做好详尽的查体、及早进行超声检查,可有效地避免误诊、漏诊。完整切除肿瘤可以获得明确的疗效,术后需密切随访。 Objective To study the clinical manifestations,pathological features,diagnosis,differential diagnosis,treatment and prognosis of axillary glomus tumor.Methods A retrospective analysis was made on the clinical data and path-ological results of a patient with chronic shoulder and back pains diagnosed by pathology as axillary glomus tumor in a hospital in January 2019.Results A 72 year-old male patient was admitted to the hospital because of left shoulder and back pain for 8 years.After hospitalization,left axillary neuropathic pain was treated with left C6 spinal nerve block.The pains were allevi-ated slightly,but there was still axillary tenderness.Then,myoskeletal ultrasonography revealed glomus tumors which were surgically resected and pathologically diagnosed as glomus tumors.Conclusion Shoulder and back pains caused by axillary glomus tumor are rare.It is difficult to diagnose it for lacking of typical symptoms and signs.A better understanding of glomus tumors in non-predisposing sites,careful physical examination and early ultrasound examination can effectively avoid misdiag-nosis and missed diagnosis.Complete resection of tumors can achieve definite curative effect,and close follow-up is needed after operation.
作者 胡春兰 牟勇 黎路根 HU Chunlan;MOU Yong;LI Lugen(Guangdong Second Provincial People's Hospital,Guangzhou 510317,China;不详)
出处 《现代医院》 2020年第6期933-936,共4页 Modern Hospitals
关键词 腋窝肿瘤 血管球瘤 肩背部疼痛 临床病理 Axillary tumor Glomus tumor Chronic shoulder and back pain Clinicopathological features
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