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神经内脂肪瘤:正中神经受压的罕见原因。

Intraneural Lipoma: A Rare Cause of Median Nerve Compression.

作者信息

Boushnak Mohammad O, Moussa Mohamad K, Alayane Ali H, Gkotsi Antonia, El Kazzi Wissam

机构信息

Orthopedic Surgery, Université Libre de Bruxelles (ULB) Erasme University Hospital, Brussels, BEL.

Orthopedic Surgery, Clinique du Sport, Paris 5, Paris, FRA.

出版信息

Cureus. 2023 Jun 7;15(6):e40074. doi: 10.7759/cureus.40074. eCollection 2023 Jun.

Abstract

Intraneural lipomatous tumors are rare lesions that mostly affect the upper extremities. These slowly growing tumors can have a serious neurological and functional impact when they reach a significantly large size. We report herein a case of a 53-year-old female who presented with a large median nerve intraneural lipomatous tumor causing compression-related signs. She was treated with monoblock excision of the tumor that was completely residing between the median nerve fibers. At her last follow-up, no median nerve deficits were recorded, and the patient went to full resolution.

摘要

神经内脂肪瘤是一种罕见的病变,主要影响上肢。这些生长缓慢的肿瘤在显著增大时可产生严重的神经学和功能影响。我们在此报告一例53岁女性患者,其患有一个巨大的正中神经内脂肪瘤,导致了与压迫相关的体征。她接受了肿瘤整块切除术,该肿瘤完全位于正中神经纤维之间。在她的最后一次随访中,未记录到正中神经功能缺损,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549f/10326648/3469c49035f8/cureus-0015-00000040074-i01.jpg

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