■Glomus肿瘤是不常见的肿瘤,它们在足部的发生更不常见。经常漏诊脚趾血管球瘤,导致诊断和治疗的延误。我们报告了在我们机构接受治疗的脚趾血管球瘤的双向观察研究。
■我们回顾了2010年1月至2022年9月在我科接受脚趾血管球瘤切除术的所有患者的记录。随访数据是从门诊记录和电话访谈中收集的。单项评估数字评估(SANE)得分,脚和脚踝结果评分(FAOS),并收集足功能指数(FFI)。
■在所有接受血管球瘤治疗的患者中,我们发现7例患者有脚趾血管瘤。7名患者中,6人是女性,1人是男性。我们患者的平均随访时间为66.4个月(范围,7-109个月)。7名患者中,1在初次手术后30个月出现复发性血管球瘤,为此她再次接受了切除,之后她就没有症状了.另一名在电话采访中出现反复症状的患者拒绝了任何进一步的治疗。在随访时无症状的6例患者中(包括因复发肿瘤而接受切除的患者),SANE评分中位数,FFI为99.5(IQR,96-100)和0.5(IQR,0-2)分别。平均FAOS为96(SD,3.3).
■手术切除甲下趾血管球瘤可以治愈。2例患者(29%)出现足趾血管球瘤复发,其中一人拒绝进一步手术。另一名患者的再次切除导致症状完全缓解。
■三级,双向观察研究。
UNASSIGNED: Glomus tumors are uncommon tumors and their occurrence in the foot is even less common. Glomus tumors of the toes are often missed, causing delays in diagnosis and treatment. We report an ambispective observational study of glomus tumors of the toes that were treated at our institution.
UNASSIGNED: We reviewed the records of all the patients who underwent excision of toe glomus tumors in our department from January 2010 to September 2022. The follow-up data were collected from the outpatient records and by telephonic interview. Single Assessment Numeric Evaluation (SANE) score, Foot and Ankle Outcome Score (FAOS), and the Foot Function Index (FFI) were collected.
UNASSIGNED: Out of all the patients treated for glomus tumors, we found that 7 patients had glomus tumors of the toes. Of the 7 patients, 6 were women and 1 was a male. The mean follow-up of our patients was 66.4 months (range, 7-109 months). Of the 7 patients, 1 presented with recurrent glomus tumor 30 months following the primary operation, for which she underwent excision again, after which she was symptom free. Another patient who developed recurrent symptoms on telephonic interview refused any further treatment. Among the 6 patients who were symptom-free at follow-up (including the patient who underwent excision for the recurrent tumor), the median SANE score, and FFI were 99.5 (IQR, 96-100) and 0.5 (IQR, 0-2) respectively. The mean FAOS was 96 (SD, 3.3).
UNASSIGNED: Surgical excision of the subungual toe glomus tumors can be curative. Recurrence of toe glomus tumors was noted in 2 patients (29%), one of whom refused further surgery. Re-excision in the other patient resulted in complete resolution of symptoms.
UNASSIGNED: Level III, ambispective observational study.