Giant Lipoma of the Thenar—Case Study and Contemporary Approach to its Aetiopathogenicity

Grivas, Theodoros B; Psarakis, Spyridon A; Kaspiris, Alpha; Liapi, G.

doi:10.1007/s11552-008-9157-4

Cited by 22 publications

(47 citation statements)

References 15 publications

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“…They present as slowly growing painless masses, although functional deficit and symptoms of nerve compression may be present depending on the size and location of the lesion 5. The presented case is one of the largest giant lipomas of the hand reported to date 1 5 6. The treatment of these giant lipomas is surgical, via marginal excision.…”

Section: Discussionmentioning

confidence: 91%

“…However, the size of this lesion means that malignancy must be considered. The differential here therefore includes liposarcoma, of which well-differentiated liposarcomas are the most common type 1. This distinction is important as a different management approach and referral to a specialist sarcoma unit would be required in malignant disease 2…”

Section: Differential Diagnosismentioning

confidence: 99%

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An exceptionally large giant lipoma of the hand

Chatterton¹,

Moores

Datta

et al. 2013

BMJ Case Reports

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Lipomas are benign tumours that consist of mature adipocytes. They are the commonest soft tissue tumours, most frequently seen in the trunk and proximal extremities. Lesions in the hand are uncommon, and giant lipomas of the hand, defined as greater than 5 cm in size, are particularly rare. We present a case of an exceptionally large giant lipoma of the hand, presenting as an extremely large inconvenient swelling of the palm in a 67-year-old woman. The diagnosis of lipoma was suggested via ultrasonography, and confirmed via MRI and histology. The lesion was successfully excised with no postoperative neurovascular deficit. The excised lesion measured 8×6×3 cm, one of the largest giant lipomas of the hand reported to date. When patients present with large lesions such as these a malignant cause must always be considered, and appropriate early imaging is essential when assessing these patients.

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Section: Discussionmentioning

confidence: 91%

Section: Differential Diagnosismentioning

confidence: 99%

An exceptionally large giant lipoma of the hand

Chatterton¹,

Moores

Datta

et al. 2013

BMJ Case Reports

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“…described this tumor in the palm (4). Later, other cases of different localizations of hand lipoma were described (5, 6), such as thenar (7) or fingers (8,9).…”

Section: Discussionmentioning

confidence: 99%

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

Radivojčević¹,

Ilic

Vulović

2016

SANAMED

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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.

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“…4 Surgical excision is the treatment of choice for thenar intramuscular lipoma. 5,8,9 In most reported cases, surgical excision of the lipoma resulted in full functional recovery. Due to its rarity, the recurrence rate is unclear.…”

Section: Discussionmentioning

confidence: 99%

Lipoma in Thenar Region

Peswani¹,

Chandrakar²,

Thakkar³

et al. 2015

The Duke Orthopaedic Journal

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Lipomas can be found anywhere in the body, with the majority being located in the head and neck region, as well as the back and abdomen. Lipomas are one of the most common benign, mesenchymal neoplasms. They may progress in size overtime and they may or may not be painful. They may be superficial or deep. Deep soft-tissue lipomas of the hand are rare. Among them, thenar intramuscular lipomas are very rare. We are reporting case of thenar intramuscular lipoma. Source of support: Nil Conflict of interest: None CASE REPoRTA 45-year-old male laborer presented to our clinic with a complaint of right hand mass. He first noticed the mass 8 months prior to his clinical evaluation and it had progressed in size overtime. The patient reported mild discomfort in the area, especially when he would try to grip tools. Other than discomfort during grip, the patient stated that he had full hand function. On physical examination, a mass was noted over the thenar eminence. This area was nontender and a soft, mobile mass was easily appreciated with palpation of the palm. The surrounding skin was normal. There was no neurovascular compromise in the thumb or other digits, and grip strength was normal. An ultrasound of the hand showed a relatively well-defined hyperechoic mass approximately 2 cm³.Excision of the lesion was performed under regional anesthesia. Intraoperatively, the thenar muscles were noted to be bulging above the mass (Fig. 1). They were separated, and the mass was excised completely. The mass measured 2 cm³ (Figs 2A and B). Histology was consistent with a spindle cell lipoma, with no evidence of atypia.

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Giant Lipoma of the Thenar—Case Study and Contemporary Approach to its Aetiopathogenicity

Cited by 22 publications

References 15 publications

An exceptionally large giant lipoma of the hand

An exceptionally large giant lipoma of the hand

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

Lipoma in Thenar Region

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