Lipoma of the Index Finger

Lipoma digits: Commonest tumour – Uncommonest sites: Report of 2 cases

“…2,7,11 They are more frequently seen in females and obese patients. 12,13 The aetiology and pathogenesis of lipoma is still not well documented. Lipoblastic embryonic cell rests, fibroblasts undergoing fatty degeneration, metaplasia of the muscle cells, genetic, hormonal changes, trauma, chronic irritation, infections and/or infarction may be responsible for mature fat cells formation.…”

“…Lipomas account for approximately 16% of all soft tissue mesenchymal tumours. 12 World health organization (WHO) classifies benign lipomatous tumours into conventional lipoma, angiolipoma, fibrolipoma, spindle cell/pleomorphic lipoma, myxolipoma, chondroid lipoma, myolipoma, osteolipoma, lipomatosis, lipomatosis of nerve, lipoblastoma / lipoblastomatosis and hibernoma. Conventional lipomas are the most common types except in the parotid and lips where spindle cell lipomas are the commonest type.…”

“…The reported recurrence rate is less than 5% within 1 year of resection. 12 Malignant change is also very rare.…”

Palmar giant lipoma causing compressive neuropathy

“…El veya parmaklarda subkutan şişlik şikâyeti ile başvuran hastalarda tanı koyarken lipomlar akılda bulundurulması gereken lezyonlardandır [5]. Liposarkom, lipoblastom, spindle hücreli lipom, pleomorfik lipom, anjiyolipom ve nöral fibrolipom gibi lipom varyantları yanı sıra tendon kılıfından kaynaklanan dev hücreli tümörler, basit epidermal kistler, vasküler anomaliler, gut tofüsleri, nörofibrom ve nörinoma gibi nörojenik tümörler de el ve parmakta şişlik şikâyeti ile başvuran hastalarda ayırıcı tanıda göz önünde bulundurulması gereken diğer patolojilerden bazılarıdır [5,6] Lipomların temel tedavi şekli total eksizyondur [7]. Tedavide vakum yardımlı ya da ultrasonik liposakşın ve lazer yardımlı lipoliz gibi yöntemleri rapor edilmiştir [8].…”

Lipoma of the Middle Finger Hampering its Movements

“…Careful dissection is necessary during the surgical procedure in order to avoid recurrence. Ultrasonography, computerized tomography, or magnetic resonance imaging are useful for more detailed investigations and differential diagnosis [4].…”