Glomangioma in the hand: diagnosis, treatment, and challenges.

IF 2.9 4区 医学 Q2 CLINICAL NEUROLOGY Neurologia i neurochirurgia polska Pub Date : 2023-01-01 DOI:10.5603/PJNNS.a2023.0039
Bartosz Szmyd, Mikolaj Malicki, Maciej Blaszczyk, Filip Franciszek Karuga, Marcin Braun, Julia Sołek, Redwan Jabbar, Jakub Jankowski, Grzegorz Wysiadecki, Maciej Radek
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Abstract

Introduction: In this paper, we have analysed all hand glomangioma cases referred to our clinic in the context of symptoms, time to diagnosis, and the role of surgical resection of the lesion.

Material and methods: We have collected the following data: the presence of risk factors, manifestation, time to diagnosis, the treatment applied, and follow-up of patients.

Results: We have collected medical records from six patients, three males and three females. The median age was 45 (IQR: 29.5-65.75). The main symptom in all patients was severe pain and tenderness. The first-choice physician(s) were: general practitioners, general surgeons, and neurologists. The median time to diagnosis was 7 (IQR: 5-10) years. The main complaint of our patients was severe pain - 9 (IQR: 9-10) on the VAS scale, which was significantly alleviated after surgical treatment - 0 (IQR: 0-0; p = 0.043).

Conclusions: Extremely long times to final diagnosis, and excellent outcomes of surgical treatment, highlight the necessity of raising awareness of glomangiomas among clinicians.

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手部血管瘤:诊断、治疗和挑战。
在本文中,我们从症状、诊断时间和手术切除病变的作用等方面分析了所有到我们诊所就诊的手部血管瘤病例。材料和方法:我们收集了以下数据:危险因素的存在、表现、诊断时间、采用的治疗方法、患者随访情况。结果:收集到6例患者的病历,男3例,女3例。中位年龄为45岁(IQR: 29.5-65.75)。所有患者的主要症状均为剧烈疼痛和压痛。首选医师为:全科医生、普通外科医生和神经科医生。中位诊断时间为7年(IQR: 5-10年)。我们的患者主诉为严重疼痛,VAS评分为- 9 (IQR: 9-10),手术治疗后疼痛明显减轻-0 (IQR: 0-0;P = 0.043)。结论:距最终诊断时间极长,手术治疗效果极佳,突出了提高临床医生对血管瘤认识的必要性。
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来源期刊
Neurologia i neurochirurgia polska
Neurologia i neurochirurgia polska 医学-临床神经学
CiteScore
4.20
自引率
27.60%
发文量
128
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Neurology and Neurosurgery is an official journal of the Polish Society of Neurology and the Polish Society of Neurosurgeons, aimed at publishing high quality articles within the field of clinical neurology and neurosurgery, as well as related subspecialties. For more than a century, the journal has been providing its authors and readers with the opportunity to report, discuss, and share the issues important for every-day practice and research advances in the fields related to neurology and neurosurgery.
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