Chaudhary Ashlesha, Shrestha Reshika, Khadka Shrekshya, Bhardwaj Sushant, Pandey Abhishek, Bhusal Suzit
Everest Hospital Pvt Ltd, New Baneshwor, Kathmandu, 44600, Nepal.
Maharajgunj Medical Campus, Maharajgunj, Kathmandu, 44600, Nepal.
Int J Surg Case Rep. 2023 Oct;111:108801. doi: 10.1016/j.ijscr.2023.108801. Epub 2023 Sep 9.
Lipomas are common benign tumors originating from adipocytes, often found in adipose-rich regions of the body. Lipomas in the fingers are rare, and their occurrence in acral areas is even more exceptional. We present a case of an elderly male with a lipoma on the middle finger of his left hand, highlighting the rarity of this presentation and the importance of surgical management.
A 70-year-old male presented with a painless swelling on the palmar aspect of his left middle finger. The mass had gradually enlarged over two years, without associated symptoms. Physical examination revealed a soft, painless mass between the proximal and distal interphalangeal joints, with intact finger function. Surgical excision was performed successfully, and histopathological examination confirmed the diagnosis of a benign lipoma.
Lipomas are most commonly found in adipose-rich areas but rarely manifest in the fingers. Surgical intervention is considered when symptoms arise or for cosmetic reasons. In this case, the patient's desire for symptom relief and the potential for compression-related issues justified surgical excision. Surgical management of finger lipomas has shown positive outcomes with minimal complications and low recurrence rates.
This case emphasizes the importance of considering lipomas in the differential diagnosis of painless finger swellings, even in atypical locations. Surgical intervention can provide effective symptom relief and prevent potential complications. While this case contributes to our understanding of finger lipomas, further research and long-term follow-up are needed to enhance our knowledge of these rare occurrences and their management.
脂肪瘤是源于脂肪细胞的常见良性肿瘤，常出现在身体富含脂肪的区域。手指部脂肪瘤罕见，在肢体末端区域出现则更为特殊。我们报告一例老年男性左手食指患有脂肪瘤的病例，强调这种表现的罕见性以及手术治疗的重要性。
一名70岁男性，左手食指掌侧出现无痛性肿胀。该肿物在两年间逐渐增大，无相关症状。体格检查发现近端和远端指间关节之间有一个柔软、无痛的肿物，手指功能正常。成功进行了手术切除，组织病理学检查确诊为良性脂肪瘤。
脂肪瘤最常见于富含脂肪的区域，但很少在手指出现。当出现症状或出于美容原因时考虑手术干预。在本病例中，患者缓解症状的需求以及与压迫相关问题的可能性证明手术切除是合理的。手指脂肪瘤的手术治疗已显示出良好的效果，并发症极少且复发率低。
本病例强调了在无痛性手指肿胀的鉴别诊断中考虑脂肪瘤的重要性，即使在非典型部位。手术干预可以有效缓解症状并预防潜在并发症。虽然本病例有助于我们对手指脂肪瘤的理解，但仍需要进一步研究和长期随访，以加深我们对这些罕见病例及其治疗的认识。
