Management of Symptomatic Lipoma of the Hand: A Case Series and Review of Literature

Document Type : SHORT COMMUNICATION

Authors

1 Department of Hand and Microsurgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran

2 Department of Orthopedics, Imam Khomeini hospital, Urmia University of Medical Sciences, Urmia, Iran

3 Department of Plastic Surgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Department of Hand and Microsurgery, Panzdahe Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran Iran- Department of Orthopedics, Imam Khomeini hospital, Urmia University of Medical Sciences, Urmia, Iran

Abstract

Soft tissue lipoma is one of the most common benign tumors rarely forming in hand. In this study, 11 cases of symptomatic 
hand lipoma were investigated. The chief complaint was a palpable mass in all 11 patients, out of whom 6 (55%) cases 
presented with neurological symptoms, including paresthesia and numbness in the median, ulnar, and superficial radial 
nerve pathways. One patient had an intramuscularly painful forearm with a large mass presentation. In the finger, 
the clinical manifestations were radial anesthesia of the finger. The mass sizes were above 5 cm3 and less than 5 
cm3 in seven and four patients, respectively. The mean follow-up period was 25 months. No patient demonstrated a 
recurrence during the follow-up period. Although lipoma is a benign tumor and often presents itself as a palpable mass 
in the hand, it can cause neurological symptoms and decreased function. Regardless of the size of the tumor, mass 
removal can prevent symptoms
Level of evidence: IV

Keywords

References

1. Bocchiotti MA, Lovati AB, Pegoli L, Pivato G, Pozzi
A. A case report of multi-compartmental lipoma
of the hand. Case Reports Plast Surg Hand Surg.
2018;5(1):35-38.
2. Kim KS, Lee H, Lim DS, Hwang JH, Lee SY. Giant lipoma
in the hand: A case report. Medicine (Baltimore).
2019;98(52):e18434.
3. Ramirez-Montaño L, Lopez RP, Ortiz NS. Giant
lipoma of the third finger of the hand. Springerplus.
2013;2(1):164.
4. Chatterton BD, Moores TS, Datta P, Smith KD. An
exceptionally large giant lipoma of the hand. BMJ Case
Rep. 2013; 2013:bcr2013200206.
5. Sbai MA, Benzarti S, Msek H, Boussen M, Khorbi A.
Carpal tunnel syndrome caused by lipoma: a case
report. Pan Afr Med J. 2015 ;22:51. .
6. Chen CH, Wu T, Sun JS, Lin WH, Chen CY. Unusual
causes of carpal tunnel syndrome: space occupying
lesions. The Journal of hand surgery, European
volume. 201237(1):14-9.
7. Brand MG, Gelberman RH. Lipoma of the flexor
digitorum superficialis causing triggering at the
carpal canal and median nerve compression. J Hand
Surg Am. 1988 ;13(3):342-4.
8. Hu Z, Yue Z, Tang Y, Zhu Y. Lipoma of the middle finger:
A case report and review of literature. Medicine
(Baltimore). 2017;96(42):e8309.
9. Kamra HT, Munde SL. Lipoma on palmar aspect
of thumb: a rare case report. J Clin Diagn Res.
2013;7(8):1706-7.
10.Chronopoulos E, Nikolaos P, Karanikas C, Kalliakmanis
A, Plessas S, Neofytou I, et al. Patient presenting with
lipoma of the index finger: a case report. Cases J.
2010;3:20 11.Ramirez-Montaño L, Lopez RP, Ortiz NS. Giant
lipoma of the third finger of the hand. Springerplus.
2013;2(1):164.
12.Pagonis T, Givissis P, Christodoulou A. Complications
arising from a misdiagnosed giant lipoma of the hand
and palm: a case report. J Med Case Rep. 2011;5:552.
13.Papakostas T, Tsovilis AE, Pakos EE. Intramuscular
Lipoma of the Thenar: A Rare Case. Arch Bone Jt Surg.
2016;4(1):80-2.
14.Chatterton BD, Moores TS, Datta P, Smith KD. An
exceptionally large giant lipoma of the hand. BMJ Case
Rep. 2013;2013:bcr2013200206.
15.Ribeiro G, Salgueiro M, Andrade M, Fernandes VS.
Giant palmar lipoma - an unusual cause of carpal
tunnel syndrome. Rev Bras Ortop. 2017;52(5):612-
615.
16.Fnini S, Hassoune J, Garche A, Rahmi M, Largab A.
Giant lipoma of the hand: case report and literature
review. Chirurgie de la Main. 2009;29(1):44-7.
17.Sonoda H, Takasita M, Taira H, Higashi T, Tsumura H.
Carpal tunnel syndrome and trigger wrist caused by
a lipoma arising from flexor tenosynovium: a case
report. J Hand Surg Am. 2002;27(6):1056-8.
18.Berlund P, Kalamaras M. A case report of trigger wrist
associated with carpal tunnel syndrome caused by an
intramuscular lipoma. Hand Surg.2014;19(2):237-9.
19.Imai S, Kodama N, Matsusue Y. Intrasynovial
lipoma causing trigger wrist and carpal tunnel
syndrome. Scand J Plast Reconstr Surg Hand
Surg.2008;42(6):328-30.
20.Nadar MM, Bartoli CR, Kasdan ML. Lipomas of the
hand: a review and 13 patient case series. Eplasty.
2010;10:e66.
21.Leffert RD. Lipomas of the upper extremity. J Bone
Joint Surg Am. 1972;54(6):1262-6.
22.McTighe S, Chernev I. Intramuscular lipoma: a review
of the literature. Orthop Rev (Pavia).2014;6(4):5618.
23.Regan JM, Bickel WH, Broders AC. Infiltrating benign
lipomas of the extremities. West J Surg. 1946;54:87-93.
24.Greenberg SD, Isensee C, Gonzalez-Angulo A, Wallace
SA. Infiltrating lipomas of the thigh. Am J Clin
Pathol.1963;39:66-72.
25.Lahrach K, el Kadi KI, Mezzani A, Marzouki A, Boutayeb
F. An unusual case of an intramuscular lipoma of the
biceps brachii. Pan Afr Med J.2013;15:40.
26.Balabram D, Cabral CCdSR, Filho OdPR, Barros CPd.
Intramuscular lipoma of the subscapularis muscle.
Sao Paulo Med J. 2014;132:65-7.
27.Liu DR, Li C, Chen L. Management of giant intermuscular
lipoma of hips: A case report and review of literature.
Mol Clin Oncol. 2013;1(2):369-372. 
The Archives of Bone and Joint Surgery
Volume 10, Issue 6
June 2022
Pages 530-535

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History

  • Receive Date: 23 May 2021
  • Revise Date: 16 September 2021
  • Accept Date: 06 October 2021
  • First Publish Date: 25 October 2021

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