Ribeiro Gaizka, Salgueiro Marta, Andrade Miguel, Fernandes Victor Santos
Hospital de Santa Maria (CHLN), Serviço de Cirurgia Plástica, Lisboa, Portugal.
Rev Bras Ortop. 2017 Aug 14;52(5):612-615. doi: 10.1016/j.rboe.2017.08.001. eCollection 2017 Sep-Oct.
Lipoma is a quite common type of soft-tissue tumor, but it is rarely found in the hand. Hand lipomas are generally asymptomatic; however, when they become too large or when they are present in some specific location, they can cause symptoms due to compression of the median nerve. These tumors must be correctly characterized preoperatively with imaging exams and the proper management is the complete removal of the tumor and release of the median nerve. The authors present the case of a female patient with carpal tunnel syndrome due to compression of the median nerve by a giant palmar lipoma, successfully treated with tumor excision and nerve release.
脂肪瘤是一种相当常见的软组织肿瘤，但在手部长得极为罕见。手部脂肪瘤通常没有症状；然而，当它们长得过大或出现在某些特定位置时，由于正中神经受压会引发症状。这些肿瘤术前必须通过影像学检查准确进行特征描述，恰当的处理方法是完整切除肿瘤并松解正中神经。作者呈现了一例因巨大手掌脂肪瘤压迫正中神经导致腕管综合征的女性患者病例，该患者通过肿瘤切除和神经松解得到了成功治疗。
