医学
前臂
手腕
脂肪瘤
正中神经
腕管综合征
外科
无症状的
组织病理学
人口
腕管
解剖
环境卫生
病理
作者
Raghvendra Pratap Singh,Ajeet Pratap Maurya,Amit Rout,Sourabh Singh
出处
期刊:Case Reports
[BMJ]
日期:2024-02-01
卷期号:17 (2): e256971-e256971
标识
DOI:10.1136/bcr-2023-256971
摘要
In up to 2% of the population, benign tumours called lipomas can develop. When they are more than 5 cm, they are considered giant lipomas. Giant lipomas of the distal forearm and hand may cause compression to the underlying tissues, nerves and muscles, even though they are typically asymptomatic. An older woman with soft tissue swelling in her right wrist and forearm, and numbness and pain in her right hand presented to the general surgery outpatient clinic. Her numb fingers indicated that the median nerve was compressed, and an MRI scan of her wrist and forearm revealed median nerve compression due to a giant lipoma with a dimension of about 9.2×3.4×4 cm. A surgical excision was done with an intraoperative nerve stimulator, and the specimen sent for histopathology confirmed the diagnosis of lipoma. Pain, numbness and motor power improved within 1 week postoperatively, and the patient was discharged.
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