左甲下血管球瘤一例

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患者,女,36岁。因左(足母)疼痛14年,步行入院。14年前自觉左(足母)疼痛,以后症状加重,以夜间疼痛尤剧,以至痛醒;当左(足母)趾受撞压时,更是疼痛难忍,但用手轻捏压数分钟则痛可减轻。先后到多家医院诊治无效。1988年12月19日首次确诊为左(足母)甲下血管球瘤住院。 体查:一般检查无特殊发现。左(足母)趾甲局部无隆起,甲下可见5mm×6mm的红色肿块,用火柴棒正压肿块的趾甲则剧痛难忍,左(足母)X线照片趾骨正常。局麻下切除左(足母)甲下肿瘤,术中见有黄豆大小红色肿瘤,病检确诊为血管球瘤。术后左(足母)疼痛完全消失。 讨论 血管球瘤一般比较小,直径很少超过3cm,超过5cm的罕见,多数在3mm~10mm,多为单发,可 Patient, female, 36 years old. Due to left (foot mother) pain for 14 years, he was admitted to the hospital on foot. 14 years ago, he felt pain in his left (foot mother), and later his symptoms worsened. He suffered severe nighttime pain and woke up. When the left (foot mother) toe was compressed, it was painful, but he squeezed it by hand for several minutes. The pain can be reduced. Has come to a number of hospitals ineffective treatment. On December 19, 1988, it was first diagnosed as a left (foot) mother-in-situ vascular balloon tumor. Physical examination: General examination No special findings. Left (foot mother) toe nails without local uplift, visible under the arm of a 5mm × 6mm red mass, with a match stick positive pressure mass toenail is very painful, left (foot mother) X-ray photograph of the phalanx normal. Under local anesthesia, the left (foot mother) underneath the tumor was resected and a red bean-sized tumor was seen during the operation. The angioma was diagnosed on the pathological examination. After the operation, the left (foot mother) pain completely disappeared. Discussion Glioblastoma is usually small, rarely exceeding 3cm in diameter, exceeding 5cm in rare cases, most in 3mm ~ 10mm, mostly single hair, can be
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