Fnini S, Hassoune J, Garche A, Rahmi M, Largab A
Service de chirurgie orthopédique et traumatologique, CHU Ibn Rochd, Casablanca, Maroc.
Chir Main. 2010 Feb;29(1):44-7. doi: 10.1016/j.main.2009.11.006. Epub 2009 Dec 21.
Giant lipoma of the hand is rare. The diagnosis is based on a clinical tumor and acroparesthesia from compression of the median and ulnar nerves. The MRI is the best exam to study local extension. Fibrolipoma of the median nerve and low-grade liposarcoma are the principal differential diagnoses.
手部巨大脂肪瘤较为罕见。诊断依据为临床所见肿瘤以及因正中神经和尺神经受压引起的肢端感觉异常。磁共振成像(MRI)是研究局部扩展情况的最佳检查方法。正中神经纤维脂肪瘤和低度脂肪肉瘤是主要的鉴别诊断对象。