Giant hand lipoma: Case report of a rare localization of a common type of tumor

Abstract

Introduction: A lipoma is a benign tumor of the adipose tissue and the most common tumor of the subcutaneous tissue which is most commonly found on the trunk. It appears as a round or oval subcutaneous mass of soft consistency, which is not attached to the skin or to the deeper tissues. Its growth can cause compressive symptoms, the most common being pain and paresthesia. Case report: Considering the fact that lipomas very rarely occur in the hand and foot, in this paper we present a case of a large lipoma in the hand of a 70-year-old female patient, with a subcutaneous tumor, in the area of the ulnar side of the left palm, and the pain and tingling in the fourth and fifth finger. Longitudinal incision on the medial side of the palm and transversal incision up to the proximal palmar crease were performed under general endotracheal anesthesia. The extirpated tumor was, due to its dimensions (5.6 x 3.4 x 2.5 cm), categorized as a giant hand lipoma. A histopathological analysis confirmed the diagnosis of lipoma. Conclusion: A hand lipoma requires surgical treatment exclusively, involving a qualified hand surgeon, which is important because of the high functional and aesthetic importance of the hand.

Wide Excision of a Giant Lipoma of The Upper Arm: A Case Report

“…This is crucial when dealing with cases of large masses since it affects the decision on the need for radiation therapy in addition to broad excision surgery. 2,6,9 Lipomas are typically treated surgically using one of two methods: wide excision or marginal excision, depending on the size of the lipoma mass. In the Kyoo-Yoon C study, the local recurrence rate using the marginal excision approach was higher than wide excision.…”

Compressive Neuropathy of the Ulnar Nerve in the Hypothenar Region by Lipoma: Case Report

“…Rare cases developed with neurological manifestations, and all revealed resolution of the pain and motor symptoms when present. [18][19][20][21][22][23][24][25][26][27][28]…”

Ultra-diluted Atropine Belladonna Managed Lipoma: A Study of Two Cases

“…A lipoma is a fat tissue tumor that is soft, round, and discreet in character; usually benign in nature and mostly found in the subcutaneous tissue of the body (Radivojcevic et al, 2016). It is derived from adipose tissues surrounded with a capsule that may consist of fibers, vessels, or mucus in the intracellular spaces, mostly appearing on the latter half of life (Bortnik et al, 2017).…”

“…Site and size of these tumors may vary, and may develop randomly in CNS, larynx, gastro-intestinal tract etc. yet some researches indicated higher prevalence in head and neck region (Radivojcevic et al, 2016;Bortnik et al, 2017;Italiano et al, 2008). Cause of lipoma is still unrevealed, however.…”