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摘要


球狀瘤可以生長在身體任何部位,好發的位置在上肢,特別是手部指甲下部位。本篇報告作者近五年的5例病例,均為女性患者,平均年齡為31歲,平均症狀持續時間為七年。其中3例以前曾經接受手術治療而無效。5例中的2例在X光片上顯示指骨壓迫凹痕。我們手術方式採局部麻醉,利用手指止血帶及手術放大鏡之幫助,摘除腫瘤。術後症狀完全消失,追踪時間最短為10個月,最長為5年,沒有復發現象。5例中有3例位於指甲下部位,均採用部分指甲摘除術探查,術後指甲復原情形令人滿意。

並列摘要


Glomus tumors can occur throughout the body. Its most common occurring site is on the upper extermities, especially the subungal area of the hand. Five female patients with glomus tumor of the digits were found in the recent 5 years. Their mean age is 31 years old, and the mean duration iof symptoms is 7 years. Out of these 5 patients, three had previous unsuccessful surgery and two had indentation of distal phalanx which were shown on the X-rays. All patients were treated under local digital block anesthesia, and complete removal of the lesion was achieved with the use of the digital tourniquet and magnifying loupes. All patients had complete relief of pain after operations. Period of follow-up ranged from 10 months to 5 years. None had recurrence of symptoms. Partial extirpation of the nail was performed on 3 patients who had the tumor located subungally, and the result of nail replacemennt was satisfactory.

延伸閱讀


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  • Leu, N. H., Huang, G. S., Ma, C. H., Lu, C. Y., & Wu, C. S. (2002). 惡性纖維組織細胞瘤在手部位之磁振造影影像. 中華放射線醫學雜誌, 27(2), 83-87. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200204-27-2-83-87-a
  • Hong, R. T., Lin, C. L., Lai, C. J., Chang, C. P., Chen, H. M., & Tseng, C. H. (2001). 手部骨內軟骨瘤之惡性變化成骨軟骨肉瘤—病例報告及文獻查證. Journal of Orthopaedic Surgery Taiwan, 18(3), 154-159. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200109-18-3-154-159-a
  • Chang, K. P., Lin, S. D., & Tsai, C. C. (2000). 深部手掌內脂肪瘤-病例報告及文獻回顧. 中華民國整形外科醫學會雜誌, 9(1), 65-72. https://doi.org/10.7096/JPSA.200003.0065
  • Chang, C. H., Shih, T. T. F., Hou, S. M., Shee, B. W., Sun, J. S., Liu, T. K., Hang, Y. S., & Hsiao, C. H. (1996). Glomus Tumor in Hand. Journal of Orthopaedic Surgery Taiwan, 13(1), 38-43. https://www.airitilibrary.com/Article/Detail?DocID=10116923-199603-13-1-38-43-a

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