Nadar Menaka M, Bartoli Carlo R, Kasdan Morton L
Eplasty. 2010 Oct 25;10:e66.
In this article, the presentation, pathophysiology, diagnosis, treatment, and complications of lipomas of the hand are reviewed and evaluated.
A thorough review of the literature is completed, and a series of 13 patients are summarized and briefly examined.
Lipomas may present as asymptomatic tumors or produce concerning signs and symptoms such as muscular atrophy and paralysis. Some lipomas may be identified by physical examination alone. However, magnetic resonance imaging best facilitates definitive diagnosis.
In the absence of mechanical impairment or cosmetic concern, observation remains the clinical standard of care. When pain, compression neuropathy, disfigurement, or decreased function affect the patient, surgical resection is typically curative. Malignant transformation rarely occurs.
本文对手部脂肪瘤的临床表现、病理生理学、诊断、治疗及并发症进行了综述和评估。
完成了对文献的全面综述，并总结并简要检查了13例患者。
脂肪瘤可能表现为无症状肿瘤，或产生如肌肉萎缩和麻痹等相关体征和症状。一些脂肪瘤仅凭体格检查即可识别。然而，磁共振成像最有助于明确诊断。
在没有机械性损伤或美容问题的情况下，观察仍是临床标准治疗方法。当疼痛、压迫性神经病变、毁容或功能减退影响患者时，手术切除通常可治愈。恶性转化很少发生。
