Lichon Sabrina, Khachemoune Amor
Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Department of Dermatology, Dermatology Service, Veterans Affairs Medical Center and State University of New York, New York, NY, USA.
Acta Dermatovenerol Alp Pannonica Adriat. 2018 Sep;27(3):137-139.
Lipomas are the most common soft tissue tumors of mesenchymal origin. They can appear anywhere on the body, and in rare cases they may present on the hands. Lipomas represent approximately 1% to 3.8% of all benign tumors in the hands. Typically, lipomas present in the fifth or sixth decade of life, occurring in both men and women. Lipomas may appear anywhere on the hand, often presenting as painless, slow-growing, and mobile masses. Symptoms may develop if local neurovascular structures are compressed. Differential diagnosis includes liposarcoma and fibrolipomatous hamartoma. To assist with clinical diagnosis, ultrasound, computed tomography, or magnetic resonance imaging may be utilized. The best way to confirm diagnosis is with histopathology. The main treatment for hand lipomas is surgical excision. Postoperative recurrence is rare.
脂肪瘤是最常见的间叶组织来源的软组织肿瘤。它们可出现在身体的任何部位，在极少数情况下可出现在手部。脂肪瘤约占手部所有良性肿瘤的1%至3.8%。通常，脂肪瘤出现在50或60岁，男性和女性均可发生。脂肪瘤可出现在手部的任何部位，常表现为无痛、生长缓慢且可活动的肿块。如果局部神经血管结构受压，可能会出现症状。鉴别诊断包括脂肪肉瘤和纤维脂肪瘤性错构瘤。为协助临床诊断，可使用超声、计算机断层扫描或磁共振成像。确诊的最佳方法是组织病理学检查。手部脂肪瘤的主要治疗方法是手术切除。术后复发罕见。
