Case report: A rare presentation of Giant palmar lipoma.
Case report: A rare presentation of Giant palmar lipoma.
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DOI：
10.1016/j.ijscr.2016.06.036
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发表时间：
2016
影响因子：
0.6
通讯作者：
Singh AK
中科院分区：
文献类型：
--
作者：
Singh V;Kumar V;Singh AK
深掌间隙脂肪瘤是罕见的。它们在性质上是缓慢进行的，通常不会导致手部麻木或无力。它们可以是欺骗性的大和广泛的，并导致误诊，如果不仔细工作。简单的影像学检查，如超声波，对浅表脂肪瘤是有用的。然而，MRI在大约94%的病例中提供了正确的诊断，并描绘了病变的确切解剖范围。重要的结构，如肌腱和神经血管束，应确定和保护。通过仔细的手术技术，可以预防并发症。摘要脂肪瘤在人体内普遍存在，但发生于掌深空间的脂肪瘤则较为罕见。本文的目的是强调诊断的关键点和手术期间应采取的预防措施，以避免任何不良并发症。这是一个55岁的女性家庭主妇的个案报告，提出了一个长期存在的大无痛肿胀在右手掌。高分辨率超声诊断为脂肪瘤。手术切除时注意不要损伤手的重要结构。术后病程顺利，患者能够进行日常活动，无任何困难或疼痛。因此，一个人应该谨慎，而处理深掌脂肪瘤。手掌脂肪瘤通常不会导致麻木或无力的手。它们可以是欺骗性的大和广泛的，一个人应该在工作中小心。简单的影像学检查，如超声波，对浅表脂肪瘤是有用的。然而，MRI在大约94%的病例中提供了正确的诊断。重要的结构应该得到确认和保护。通过仔细的手术技术，可以预防并发症。
Lipomas of deep palmer space are rare. They are slowly progressive in nature and usually do not cause numbness or weakness of the hand. They can be deceptively large and extensive and lead to misdiagnosis if not carefully worked out. Simple imaging such as ultrasound is useful for a superficially located lipoma. MRI, however, provides correct diagnosis in about 94% of cases and delineates the exact anatomical extent of the lesion. Vital structures like tendons & neurovascular bundles should be identified and preserved. With careful surgical technique the complications can be prevented. Lipomas are ubiquitous in human body but a rare presentation in the deep palmar space. The objective of this article is to highlight the key points in the diagnosis and precautions to be taken during surgery so that any untoward complication can be avoided. This is a case report of a 55-year-old female housewife presented with a long standing large painless swelling in the right palm. High resolution ultrasound suggested the diagnosis of lipoma. Surgical excision was done taking care not to injure the vital stuctures of the hand. Postoperative course was uneventful and the patient was able to perform her daily activities without any difficulty or pain. Therefore, one should be cautious while dealing with deep palmar lipomas. Palmar lipomas usually do not cause numbness or weakness of the hand. They can be deceptively large and extensive and one should be careful during the work up. Simple imaging such as ultrasound is useful for a superficially located lipoma. MRI, however, provides correct diagnosis in about 94% of cases. Vital structures should be identified and preserved. With careful surgical technique the complications can be prevented.