Multilocular Lipoma in the Middle and Index Fingers: A Case Report

Abstract

Lipomas are the most common type of soft tissue tumor, and 95% of them are benign. While lipomas can present anywhere on the body, 1% of them are found in the fingers. The ultimate goal of management is surgical excision of the mass with preservation of the neurovascular surroundings. Here, we present the case of a 24-year-old, morbidly obese Saudi female patient complaining of large non-tender lumps in the index and middle fingers involving the palmar and dorsal surfaces of the left non-dominant hand. The lumps were associated with paresthesia and tingling sensations. The article aims to report and highlight the satisfactory outcomes after total excision of such lipomas and restoring the function as well as the cosmetic results of the hand.

An unusual presentation of Dercum’s disease to the emergency department

“…Our patient had type II Dercum’s disease with an unusual involvement of the scalp and the tip of the left fifth digit. Lipomas are known to occur rarely on the scalp and in the digits due to less subcutaneous tissue [ 2 , 3 ], therefore, preferably require histopathological confirmation.…”