Öz
Glomus tümörleri, nadir görülen mezenkimal tümörlerdir. Bening tümörler olmasına rağmen yoğun lokal ağrıya neden olurlar. Vücudun herhangi bir yerinde görülebilir. Fakat en sık olarak üst ekstremitede özellikle subungual bölgelerde oluşurlar. Nadir görülmeleri ve çok küçük olmaları nedeniyle uzun yıllar tanı konulamayabilir veya yanlış tanılarla takip edilebilirler. Bu olgu raporunda baş parmağında uzun süredir geceleri artan ağrı ve soğuk intoleransı şikayetleriyle polikliniğe gelen 34 yaşındaki kadın hastanın sonuçları sunulmaktadır. Hastada yapılan klinik muayene, röntgen ve manyetik rezonans görüntüleme sonuçları baş parmak subungal yerleşimli Glomus tümörü ön tanısını düşündürmüştür. Lezyonun patolojik tanısı için eksizyonu gerekmiştir. Cerrahi eksizyon sonrasında glomus tümörü tanısı kesinleşmiş ve hastanın şikayetleri ortadan kalkmıştır. Glomus tümöründe tedavide gecikmeyi önlemek için tanı konusunda farkındalığa ihtiyaç vardır. Doğru tanı sonrasında cerrahi eksizyon en etkili tedavi yöntemdir. Manyetik rezonans görüntüleme doğru tanı konulmasında, preoperatif dönemde cerraha yol göstermesi, postoperatif dönemde rekürrensin değerlendirilmesinde diğer görüntüleme yöntemlerine göre üstündür.
Anahtar Kelimeler
Destekleyen Kurum
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Proje Numarası
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Teşekkür
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Kaynakça
- 1. Liapi-Avgeri G, Karabela-Bouropoulou V, Agnanti N. Glomus tumor. A histological, histochemical and immunohistochemical study of the various types. Pathol Res Pract. 1994; 190: 2-10.
- 2. McDermott EM, Weiss A-PC. Glomus tumors. J Hand Surg Am. 2006; 31: 1397-1400.
- 3. Masson P. Le lomus neuromyoarteriel des regions tactiles et ses tumeurs. Lyon Chir. 1924; 21: 257-280.
- 4. Samaniego E, Crespo A, Sanz A. Key diagnostic features and treatment of subungual glomus tumor. Actas Dermosifiliogr. 2009; 100: 875-882.
- 5. Moon SE, Won JH, Kwon OS, et al. Subungual glomus tumor: clinical manifestations and outcome of surgical treatment. J Dermatol. 2004; 31: 993-997. 6. Carroll RE, Berman AT. Glomus tumors of the hand: review of the literature and report on twenty-eight cases. J Bone Joint Surg Am. 1972; 54: 691-703.
- 7. Netscher DT, Aburto J, Koepplinger M. Subungual glomus tumor. J Hand Surg Am. 2012; 37: 821-823.
- 8. Lu H, Chen LF, Chen Q. Rupture of a subungual glomus tumor of the finger. BMC Cancer. 2018; 18(1): 1-5.
- 9. Koç O, Kivrak AS, Paksoy Y. Subungual glomus tumour: magnetic resonance imaging findings. Australas Radiol. 2007; 51: B107-B109.
- 10. Shin DK, Kim MS, Kim SW, et al. A painful glomus tumor on the pulp of the distal phalanx. J Korean Neurosurg Soc. 2010; 48: 185-187.
- 11. Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor: analysis of 75 cases. Dermatologic Surg. 2010; 36: 1396-1400.
- 12. Chen SH-T, Chen Y-L, Cheng M-H, et al. The use of ultrasonography in preoperative localization of digital glomus tumors. Plast Reconstr Surg. 2003; 112: 115-119.
- 13. Jablon M, Horowitz A, Bernstein DA. Magnetic resonance imaging of a glomus tumor of the fingertip. J Hand Surg Am. 1990; 15: 507-509.
- 14. Peterson JJ, Bancroft LW, Kransdorf MJ. Principles of bone and soft tissue imaging. Hand Clin. 2004; 20: 147-166.
- 15. Moon ES, Choi MS, Kim MS, et al. Distribution of glomus tumors in fingers. J Korean Soc Surg Hand. 2009; 14:138-143.
- 16. Morey VM, Garg B, Kotwal PP. Glomus tumours of the hand: Review of literature. J Clin Orthop trauma. 2016; 7: 286-291.
- 17. Kim DH. Glomus tumor of the finger tip and MRI appearance. Iowa Orthop J. 1999; 19: 136-138.
- 18. Rohrich RJ, Hochstein LM, Millwee RH. Subungual glomus tumors: an algorithmic approach. Ann Plast Surg. 1994; 33: 300-304.
- 19. Roan TL, Chen CK, Horng SY, et al. Surgical technique innovation for the excision of subungual glomus tumors. Dermatologic Surg. 2011; 37: 259-262.
- 20. Abimelec P, Dumontier C. In: Nails: Diagnosis, Therapy, and Surgery, Scher RK, Daniel RC, et al (Eds) Basic and advanced nail surgery (Part 1: Principles and techniques), Elsevier Saunders, 2005:265.
Öz
Glomus tumors are rare mesenchymal tumors. Although they are benign tumors, they cause intense local pain. It can be seen anywhere on the body. However, they mostly occur in the upper extremity, especially in the subungal regions. Because they are rare and very small, they may not be diagnosed for many years or they can be followed up with false diagnoses. In this case report, the results of a 34-year-old female patient who came to the outpatient clinic with complaints of long-lasting pain in her thumb and cold intolerance are presented. The clinical examination, x-ray and magnetic resonance imaging results of the patient suggested the pre-diagnosis of a glomus tumor located in the thumb subungal region. Excision was required for the pathological diagnosis of the lesion. After surgical excision, the diagnosis of glomus tumor was finalized, and the patient's complaints disappeared. Awareness of diagnosis is needed to prevent delay in treatment of glomus tumor. Surgical excision is the most effective treatment method after a correct diagnosis. Magnetic resonance imaging is superior to other imaging methods in accurate diagnosis, in guiding the surgeon in the preoperative period, and in the evaluation of recurrence in the postoperative period.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1. Liapi-Avgeri G, Karabela-Bouropoulou V, Agnanti N. Glomus tumor. A histological, histochemical and immunohistochemical study of the various types. Pathol Res Pract. 1994; 190: 2-10.
- 2. McDermott EM, Weiss A-PC. Glomus tumors. J Hand Surg Am. 2006; 31: 1397-1400.
- 3. Masson P. Le lomus neuromyoarteriel des regions tactiles et ses tumeurs. Lyon Chir. 1924; 21: 257-280.
- 4. Samaniego E, Crespo A, Sanz A. Key diagnostic features and treatment of subungual glomus tumor. Actas Dermosifiliogr. 2009; 100: 875-882.
- 5. Moon SE, Won JH, Kwon OS, et al. Subungual glomus tumor: clinical manifestations and outcome of surgical treatment. J Dermatol. 2004; 31: 993-997. 6. Carroll RE, Berman AT. Glomus tumors of the hand: review of the literature and report on twenty-eight cases. J Bone Joint Surg Am. 1972; 54: 691-703.
- 7. Netscher DT, Aburto J, Koepplinger M. Subungual glomus tumor. J Hand Surg Am. 2012; 37: 821-823.
- 8. Lu H, Chen LF, Chen Q. Rupture of a subungual glomus tumor of the finger. BMC Cancer. 2018; 18(1): 1-5.
- 9. Koç O, Kivrak AS, Paksoy Y. Subungual glomus tumour: magnetic resonance imaging findings. Australas Radiol. 2007; 51: B107-B109.
- 10. Shin DK, Kim MS, Kim SW, et al. A painful glomus tumor on the pulp of the distal phalanx. J Korean Neurosurg Soc. 2010; 48: 185-187.
- 11. Lin YC, Hsiao PF, Wu YH, et al. Recurrent digital glomus tumor: analysis of 75 cases. Dermatologic Surg. 2010; 36: 1396-1400.
- 12. Chen SH-T, Chen Y-L, Cheng M-H, et al. The use of ultrasonography in preoperative localization of digital glomus tumors. Plast Reconstr Surg. 2003; 112: 115-119.
- 13. Jablon M, Horowitz A, Bernstein DA. Magnetic resonance imaging of a glomus tumor of the fingertip. J Hand Surg Am. 1990; 15: 507-509.
- 14. Peterson JJ, Bancroft LW, Kransdorf MJ. Principles of bone and soft tissue imaging. Hand Clin. 2004; 20: 147-166.
- 15. Moon ES, Choi MS, Kim MS, et al. Distribution of glomus tumors in fingers. J Korean Soc Surg Hand. 2009; 14:138-143.
- 16. Morey VM, Garg B, Kotwal PP. Glomus tumours of the hand: Review of literature. J Clin Orthop trauma. 2016; 7: 286-291.
- 17. Kim DH. Glomus tumor of the finger tip and MRI appearance. Iowa Orthop J. 1999; 19: 136-138.
- 18. Rohrich RJ, Hochstein LM, Millwee RH. Subungual glomus tumors: an algorithmic approach. Ann Plast Surg. 1994; 33: 300-304.
- 19. Roan TL, Chen CK, Horng SY, et al. Surgical technique innovation for the excision of subungual glomus tumors. Dermatologic Surg. 2011; 37: 259-262.
- 20. Abimelec P, Dumontier C. In: Nails: Diagnosis, Therapy, and Surgery, Scher RK, Daniel RC, et al (Eds) Basic and advanced nail surgery (Part 1: Principles and techniques), Elsevier Saunders, 2005:265.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Nisan 2021 |
| Gönderilme Tarihi | 6 Mart 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 2 Sayı: 1 |
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