小腿广泛多发血管球瘤长期随访一例报告

严磊; 冉兵; 李亮; 雷军; 蔡林

doi:10.3969/j.issn.2095-252X.2015.11.018

摘要：Objective To enhance the cognition of clinical, radiological and pathological features of multiple glomus tumor ( MGT ).Methods Medical history and clinical data of 1 case with MGT were analyzed and related literature was reviewed.Results A 52-year-old female patient of extensive MGT in the left lower leg underwent 6 times of surgery during the past 16 years. The remission stage ranged from 1 month to 8 years. Tumors had not been resected completely at the ifrst and fourth operations because of the small size and extensive or deep location, and the pain in the anteromedial left lower leg and around the knee joint recurred again within 1 month. A more complete surgical plan was carried out at the second and sixth operations. The patient did not complain about pain or other uncomfortable feelings during the 10 months follow-up after the latest operation.Conclusions Pathological and radiological features of MGT are typical presentations of glomus tumor, and MGT is more likely to be incompletely resected compared with solitary glomus tumor ( GT ) for the reason of small size, extensive distribution, deep location and atypical symptoms. Surgical method is one of the crucial factors to the tumor’s recurrence, and a wide and complete resection is mote favorable for MGT.