Giant Lipomas of the Hand and Forearm

Management of giant intermuscular lipoma of hips: A case report and review of literature

“…However, indications of the surgery may be discomfort by fascial compartment syndrome, the necessity of differential diagnosis from malignant tumors and the possible development of malignant alterations. Generally, intermuscular lipomas have a well-defined pseudo-capsule (3,12,21), thus, dissection around these benign neoplasms is not particularly difficult. The surgical removal of the tumor ought to be complete since residual disease may lead to recurrence and additional surgical procedures with added risk and complications (22).…”

Carpal Tunnel Syndrome Caused by Bifid Median Nerve in Association with Anomalous Course of the Flexor Digitorum Superficialis Muscle at the Wrist

“…Involvement of the nerves in the upper extremity is more common than those in the lower extremity and the reports regarding involvement of the median nerve by a lipoma within carpal tunnel are now increasing 5,6,14,18,22) . Although symptomatic involvement of the median nerve in the proximal forearm by a lipoma has been reported twice 13,27) , to our knowledge, the case presented is the first of compression of the median nerve by a lipoma in the distal forearm just proximal to the wrist.…”

“…Among the nonneural sheath-origin tumors, lipomas are a very rare cause of peripheral nerve compression 8) . Therefore, peripheral nerve compression by lipoma is infrequently reported in the medical literature, and most reports are restricted to case reports and small series of patients 3,5,6,[9][10][11]13,14,17,18,20,21,[23][24][25]27) . Lipomas are benign fatty tumors that are common in humans; it is a globose or ovoid mass which is mostly localized in the subcutaneous tissue 15) .…”

“…The most frequent clinical presentation of lipoma is a solitary lipoma. Two situations has been suggested for compression of a peripheral nerve by lipomas: (1) the nerve can be compressed by a subcutaneous lipoma on the point which it runs superficially, or (2) the lesion can be derived from deeper-seated fatty tissues (subfascial, parosteal lipomas), compressing nerves in more profound locations 13) . The deep-seated, subfascial lipomas has been reported to have a preponderance of their association with radial nerve compression 8,25) .…”

Giant lipomas of the upper extremity: Case reports and a literature review

“…Giant lipomas of the axillary area are very rare (2). Clinical features of these giant lipomas are mainly due to their size and may include pain from stretching or compression of adjacent nerves, compartment syndrome, restriction in movements of the joint involved, and social embarrassment or inability to wear clothing (3).…”