论文部分内容阅读
本文报告10例血管球瘤,对其临床,病理及组织发生进行了简要叙述和探讨。男性6例,女性4例,均为单发,其中9例为有剧痛之皮下结节。Barre及Masson所描述的两种不同血窦在本组均能清楚看到。血窦多寡在各例间差别极大。10例中,1例血窦极少,大部分为肌上皮样细胞;1例血窦极多,细胞较少,似海绵状血管瘤。4例中见过渡性嗜酸性细胞;另6例因未作连续切片,亦不能排除过渡细胞的存在。无痛1例的病变与其他9例无明显区别。本病在临床上须与四肢的平滑肌瘤及神经鞘瘤鉴别,后二者亦偶有不同程度疼痛,本文3例在临床上均误诊为神经鞘瘤。
This article reports 10 cases of glomus tumors, their clinical, pathological and histological events were briefly described and discussed. There were 6 males and 4 females, all of whom were single, and 9 of them had subcutaneous nodules with severe pain. The two different sinusoids described by Barre and Masson are clearly visible in this group. The number of sinusoids varies greatly among cases. Of the 10 cases, 1 had very few sinuses, most of which were myoepithelial cells; 1 had more sinuses and fewer cells, which resembled cavernous hemangioma. Transitional eosinophils were found in 4 cases; in the other 6 cases, transitional cells could not be excluded because they were not serially sectioned. Painless 1 lesion was not significantly different from the other 9 cases. The disease must be clinically differentiated from leiomyomas and schwannoma of the extremities. The latter two are also involved in varying degrees of pain. Three of the patients were misdiagnosed as schwannomas in the clinic.