Zor Konulan Tanı: Parmağın Glomus Tümörü
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Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Namık Kemal Üniversitesi, Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç N romyoarteryel lomus cisimciğinden k ken alan ve elin nadir rülen tüm rlerinden olan lomus tüm rlü hastaların klinik zelliklerinin ve tedavi sonuçlarının değerlendirilmesi. Materyal ve Metot – yılları arasında parmağında lomus tüm rü saptanan 6 kadın, 3 erkek toplam 9 hasta retrospesifik olarak tespit edilerek çalışmaya alındı. Hastalar, yaş, cinsiyet, lezyonun yerleşim yeri, şikayetler ve şikayetlerin başladığı zaman, klinik olarak ilk değerlendirme ve tanı zamanı, kullanılan radyolojik rüntüleme y ntemleri, uy ulanan tedavi, patolojik tanı, takip sonuçları ve komplikasyonlar açısından incelendi. Bulgular Hastaların yaş ortalaması 39, idi. Tüm hastalarda lomüs tüm rü subun ual yerleşimli olduğu rüldü. Lezyonların ’si başparmakta, 3’ü işaret parmağında, 3’ü orta parmakta, ’ide yüzük parmağında idi. Tüm hastalardaki ortak şikayet tırnak ve parmakta ağrı ve hassasiyet idi. hastada da soğuk intoleransı n planda idi. hastada tırnak üzerinde mavi renk değişimi, 3 hastada da tırnakta kabarıklık ve deformasyon zlendi. Hastaların şikayetleri başlamasından tanı anına kadar eçen süre ortalama ,7 ay idi. Düz rafide distal falanksta kemik seğmentte erozyon hasta haricinde tespit edilmedi. Ma netik rezonans rüntüleme de kitleler tespit edildi. 9 hastanın 8’ inda tanılar klinik ve radyolojik olarak konulurken hastada sadece klinik olarak tanı konuldu Tüm hastalara cerrahi tedavi uy ulandı. Bütün ol uların tanıları histolojik olarak doğrulandı. ay ortalama takip süreleri olan hastalarda nüks rülmedi. Postoperatif hastada minimal tırnak deformiteleri zlendi. Sonuç Özellikle parmak ucu olmak üzere parmak yerleşimli, nedeni saptanamayan ve şiddetli ağrı durumlarında ntanı olarak lomus tüm rü akla elmelidir. Tanıda MRG kitlenin tespitinde en nemli basamaktır.
Aim To evaluate the clinical properties and treatment results of patients with glomus tumor which is one of the rare tumors of the hand originating from the neuromyoarterial glomus body. Materials and Methods Between years 2012-2014, a total of 9 patients (6 women and 3 men) diagnosed with glomus tumor of the hand were included in this retrospective study. Age, sex, localization of the lesion, symptoms and the initiation time of the symptoms, time of first clinical evaluation and diagnosis, radiological imaging methods, the treatment applied, pathological diagnosis, follow-up results and the presence of complications were evaluated for each patient. Results The mean age of the patients were 39.6 years. Glomus tumor was observed to be subungual in all patients. Two of the lesions were in the thumb, 3 were in the index finger, 3 were in the middle finger, and 1 was in the fourth finger. The common complaint in all patients was pain in the finger and the nail and tenderness. Cold intolerance was prominent in 4 patients. There was blue discoloration in 2 patients and protuberance and deformation of the nail was observed in 3 patients. The average time between the initiation of the symptoms and the diagnosis was 10.7 months. No erosion in the bony segment of the distal phalanx was present in plain radiography except 1 patient. The masses were observed in the Magnetic Resonance imaging. In 8 of the 9 patients the diagnosis was made clinically and radiologically, and only one patient was diagnosed clinically. All patients received surgical treatment. No recurrence was observed in the 12 month follow-up period. Minimal nail deformities were observed in 4 patients postoperatively. Conclusion In cases of severe pain localized in the finger, especially fingertip, of unknown cause, glomus tumor should be suspected as a prediagnosis. MRI is the most important step in the diagnosis of the mass.
Aim To evaluate the clinical properties and treatment results of patients with glomus tumor which is one of the rare tumors of the hand originating from the neuromyoarterial glomus body. Materials and Methods Between years 2012-2014, a total of 9 patients (6 women and 3 men) diagnosed with glomus tumor of the hand were included in this retrospective study. Age, sex, localization of the lesion, symptoms and the initiation time of the symptoms, time of first clinical evaluation and diagnosis, radiological imaging methods, the treatment applied, pathological diagnosis, follow-up results and the presence of complications were evaluated for each patient. Results The mean age of the patients were 39.6 years. Glomus tumor was observed to be subungual in all patients. Two of the lesions were in the thumb, 3 were in the index finger, 3 were in the middle finger, and 1 was in the fourth finger. The common complaint in all patients was pain in the finger and the nail and tenderness. Cold intolerance was prominent in 4 patients. There was blue discoloration in 2 patients and protuberance and deformation of the nail was observed in 3 patients. The average time between the initiation of the symptoms and the diagnosis was 10.7 months. No erosion in the bony segment of the distal phalanx was present in plain radiography except 1 patient. The masses were observed in the Magnetic Resonance imaging. In 8 of the 9 patients the diagnosis was made clinically and radiologically, and only one patient was diagnosed clinically. All patients received surgical treatment. No recurrence was observed in the 12 month follow-up period. Minimal nail deformities were observed in 4 patients postoperatively. Conclusion In cases of severe pain localized in the finger, especially fingertip, of unknown cause, glomus tumor should be suspected as a prediagnosis. MRI is the most important step in the diagnosis of the mass.
Açıklama
Anahtar Kelimeler
Glomus tümörü, parmak, cerrahi tedavi, glomus tumor, finger, surgical treatment
Kaynak
Namık Kemal Tıp Dergisi (International Journal of Basic and Clinical Medicine)
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
2
