Young Kieron, Popova Dardan, Mutsago Tonderai, Payne Caroline
Plastic and Reconstructive Surgery, The Royal London Hospital, London, GBR.
Cureus. 2025 Jul 25;17(7):e88720. doi: 10.7759/cureus.88720. eCollection 2025 Jul.
Familial multiple lipomatosis (FML) is a rare autosomal dominant condition characterised by multiple subcutaneous lipomas affecting the trunk and extremities. Although benign, the aesthetic and functional burden of multiple lipomas often prompts patients to seek treatment. We present a 57-year-old male with a 15-year history of FML who underwent minimally invasive surgical excision of 101 forearm lipomas through 34 strategically placed incisions. The patient recovered well, returned to manual work within one week, and reported high cosmetic satisfaction. At the two-year follow-up, only three asymptomatic recurrences were noted on the left forearm. This case highlights a minimally invasive technique that optimises cosmetic outcomes while maintaining effective lesion clearance in patients with multiple lipomas.
家族性多发性脂肪瘤病（FML）是一种罕见的常染色体显性疾病，其特征为躯干和四肢出现多发性皮下脂肪瘤。尽管脂肪瘤是良性的，但多发性脂肪瘤带来的美观和功能负担常常促使患者寻求治疗。我们报告一例57岁男性，患有FML 15年，通过34个精心设计的切口对其前臂的101个脂肪瘤进行了微创外科切除。患者恢复良好，一周内恢复体力劳动，并对美容效果表示高度满意。在两年的随访中，仅在前臂左侧发现3例无症状复发。该病例突出了一种微创技术，该技术在保持对多发性脂肪瘤患者有效清除病灶的同时，优化了美容效果。
