Unal Melih, Demirayak Engin, Acar Baver, Kose Ozkan
Department of Orthopaedics and Traumatology, University of Health Sciences, Medical Faculty, Antalya Education and Research Hospital, Antalya, Turkey.
Cureus. 2018 Feb 16;10(2):e2198. doi: 10.7759/cureus.2198.
Lipomas are benign tumors that rarely settle in the hand. They usually present with mass, pain, and nerve compression symptoms. Although isolated median or ulnar nerve compression neuropathy secondary to a lipoma of the hand has been widely reported, simultaneous median and ulnar nerve compression neuropathy are exceedingly rare and there are only three reported cases in the current literature to date. Herein, a case of a 50-year-old woman with a giant palmar lipoma that caused median and ulnar compression neuropathy is presented. The removal of the tumor resulted in the complete recovery of the patient's symptoms. A deep-seated palmar lipoma should be kept in mind in patients with unilateral compression neuropathy symptoms with a palmar mass.
脂肪瘤是一种很少发生于手部的良性肿瘤。它们通常表现为肿块、疼痛和神经压迫症状。虽然继发于手部脂肪瘤的孤立性正中神经或尺神经压迫性神经病变已被广泛报道，但同时发生正中神经和尺神经压迫性神经病变极为罕见，目前文献中迄今仅有3例报道。在此，本文报告一例50岁女性患者，其巨大的掌部脂肪瘤导致了正中神经和尺神经压迫性神经病变。肿瘤切除后患者症状完全恢复。对于有掌部肿块且伴有单侧压迫性神经病变症状的患者，应考虑深部掌部脂肪瘤。
