Nanoori 2bko R&D Institute, Nanoori Hospital Suwon, 295, Jungbu-daero, Yeongtong-gu, Gyeonggi-Do, Republic of Korea.
Jt Dis Relat Surg. 2021;32(1):230-233. doi: 10.5606/ehc.2021.75678. Epub 2021 Jan 6.
Lipoma is a common benign soft tissue tumor which rarely occurs in the hand. Lipomas of the hand seldomly cause pain or other symptoms. However, in certain areas, the mass effect from the lipoma may cause clinical symptoms. It rarely involves the deep areas such as synovial membrane and muscle and, sometimes, pressure on the peripheral nerves can cause pain and neurological symptoms. The treatment is surgical resection with a low rate of recurrence. However, the rate of recurrence is high in deep and infiltrating lipomas which preclude complete resection. In this article, we report a case of a large palmar lipoma arising from the flexor tenosynovium of the hand causing digital nerve compression.
脂肪瘤是一种常见的良性软组织肿瘤，很少发生在手。手部脂肪瘤很少引起疼痛或其他症状。然而，在某些部位，脂肪瘤的肿块效应可能会引起临床症状。它很少涉及滑膜和肌肉等深部区域，有时，外周神经受压会引起疼痛和神经症状。治疗方法是手术切除，复发率低。然而，深部浸润性脂肪瘤的复发率较高，无法完全切除。本文报告了一例发生于手部屈肌腱腱鞘的巨大掌侧脂肪瘤，导致指神经受压的病例。
