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一例大鱼际肌内脂肪瘤并对手部脂肪瘤病例报告的简短综述

A Case of Intramuscular Lipoma of Thenar Eminence With a Short Review of Published Hand Lipoma Case Reports.

作者信息

Soni Aditya, Mehta Milind, Shirodkar Kapil, Singh Abhishek, Talawadekar Gautam

机构信息

Trauma and Orthopaedics, Furness General Hospital, University Hospitals of Morecambe Bay NHS Foundation Trust, Barrow-in-Furness, GBR.

Radiology, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR.

出版信息

Cureus. 2023 May 29;15(5):e39628. doi: 10.7759/cureus.39628. eCollection 2023 May.

DOI:10.7759/cureus.39628
PMID:37388596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10303273/
Abstract

Lipoma is a common soft tissue tumour in the human body, but at the same time is very rare in the palm and rarer still in the thenar region. These lipomas in the hand can give rise to various problems such as cosmetic, functional, and neurological compromise among others and removing them becomes important when symptomatic. Diagnosing a hand pathology becomes important as a missed diagnosis can have long-term functional consequences for a patient. In the case report, we discuss a hand palmar prominence which presented as an effusion and later turned out to be a large lipoma. Further, we also present a literature review of published thenar lipoma cases to throw light on the nuances of this rare pathology location, which, to our knowledge, has not been done comprehensively.

摘要

脂肪瘤是人体常见的软组织肿瘤,但同时在手掌中非常罕见,在大鱼际区域则更为罕见。手部的这些脂肪瘤可能会引发各种问题,如美观、功能和神经功能受损等,出现症状时将其切除就变得很重要。诊断手部病变很重要,因为漏诊可能会给患者带来长期的功能后果。在本病例报告中,我们讨论了一个表现为积液的手掌突出物,后来发现是一个大脂肪瘤。此外,我们还对已发表的大鱼际脂肪瘤病例进行了文献综述,以阐明这种罕见病理部位的细微差别,据我们所知,此前尚未对此进行全面的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be1/10303273/00af54349004/cureus-0015-00000039628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be1/10303273/76d7b221a6e0/cureus-0015-00000039628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be1/10303273/00af54349004/cureus-0015-00000039628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be1/10303273/76d7b221a6e0/cureus-0015-00000039628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be1/10303273/00af54349004/cureus-0015-00000039628-i02.jpg

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本文引用的文献

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The 2020 WHO Classification of Soft Tissue Tumours: news and perspectives.2020 年世界卫生组织软组织肿瘤分类:新闻与展望。
Pathologica. 2021 Apr;113(2):70-84. doi: 10.32074/1591-951X-213. Epub 2020 Nov 3.
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Epidemiological, clinical and histological features of adipose tumors in the hand and wrist: Findings from a continuous series of 37 cases.
Orthop Traumatol Surg Res. 2020 Apr;106(2):329-334. doi: 10.1016/j.otsr.2019.12.011. Epub 2020 Feb 6.
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Demographic Characteristics, Anatomical Distribution, and Clinical Presentations of Lipomatosis Tumors Arising from Hand and Wrist.手部和腕部脂肪过多症肿瘤的人口统计学特征、解剖分布及临床表现
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Clinics in diagnostic imaging (169). Intermuscular lipoma in the thenar eminence of the right hand.诊断影像学临床(第169期)。右手鱼际肌内脂肪瘤。
Singapore Med J. 2016 Aug;57(8):419-25. doi: 10.11622/smedj.2016131.
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Intramuscular Lipoma of the Thenar: A Rare Case.大鱼际肌内脂肪瘤:1例罕见病例
Arch Bone Jt Surg. 2016 Jan;4(1):80-2.
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