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Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes

Background: Lipomas are the most frequent benign soft tissue tumor that are rarely found in the hand and are exceptionally rare on the fingers. The aim of this study was to investigate lipomas of atypical locations, so that they can be taken into account when making a differential diagnosis of a tum...

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Autores principales: Pertea, Mihaela, Lunca, Sorinel, Filip, Alexandru, Moraru, Dan Cristian, Carp, Claudiu, Pinzaru, Roxana, Poroch, Vladimir, Veliceasa, Bogdan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600489/
https://www.ncbi.nlm.nih.gov/pubmed/36291975
http://dx.doi.org/10.3390/diagnostics12102286
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author Pertea, Mihaela
Lunca, Sorinel
Filip, Alexandru
Moraru, Dan Cristian
Carp, Claudiu
Pinzaru, Roxana
Poroch, Vladimir
Veliceasa, Bogdan
author_facet Pertea, Mihaela
Lunca, Sorinel
Filip, Alexandru
Moraru, Dan Cristian
Carp, Claudiu
Pinzaru, Roxana
Poroch, Vladimir
Veliceasa, Bogdan
author_sort Pertea, Mihaela
collection PubMed
description Background: Lipomas are the most frequent benign soft tissue tumor that are rarely found in the hand and are exceptionally rare on the fingers. The aim of this study was to investigate lipomas of atypical locations, so that they can be taken into account when making a differential diagnosis of a tumor of the hand or fingers. Methods: We studied a group of 27 patients diagnosed with lipoma of the wrist, palm, and fingers. The diagnosis was made by clinical and imaging examinations. Surgical treatment was established based on symptoms of pain, paresthesias, functional impairment, or aesthetic concerns. Treatment outcomes were assessed clinically at 1.5 years post-intervention. Results: Sizes over 5 cm were recorded in five cases, with the largest lipoma being 8 by 5 by 3.5 cm in size and weighing 125 g, located in the palm. There was one case of spontaneous tendon rupture and one case of carpal tunnel syndrome. There was no recurrence recorded at 1.5-year follow-up. Conclusions: Lipomas in the palm and fingers are rare entities (with more men affected), and surgical treatment consists of complete removal of the tumor and providing definitive healing. Despite their rarity, clinicians should consider lipomas when making differential diagnoses of soft tissue tumors of the hand.
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spelling pubmed-96004892022-10-27 Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes Pertea, Mihaela Lunca, Sorinel Filip, Alexandru Moraru, Dan Cristian Carp, Claudiu Pinzaru, Roxana Poroch, Vladimir Veliceasa, Bogdan Diagnostics (Basel) Article Background: Lipomas are the most frequent benign soft tissue tumor that are rarely found in the hand and are exceptionally rare on the fingers. The aim of this study was to investigate lipomas of atypical locations, so that they can be taken into account when making a differential diagnosis of a tumor of the hand or fingers. Methods: We studied a group of 27 patients diagnosed with lipoma of the wrist, palm, and fingers. The diagnosis was made by clinical and imaging examinations. Surgical treatment was established based on symptoms of pain, paresthesias, functional impairment, or aesthetic concerns. Treatment outcomes were assessed clinically at 1.5 years post-intervention. Results: Sizes over 5 cm were recorded in five cases, with the largest lipoma being 8 by 5 by 3.5 cm in size and weighing 125 g, located in the palm. There was one case of spontaneous tendon rupture and one case of carpal tunnel syndrome. There was no recurrence recorded at 1.5-year follow-up. Conclusions: Lipomas in the palm and fingers are rare entities (with more men affected), and surgical treatment consists of complete removal of the tumor and providing definitive healing. Despite their rarity, clinicians should consider lipomas when making differential diagnoses of soft tissue tumors of the hand. MDPI 2022-09-22 /pmc/articles/PMC9600489/ /pubmed/36291975 http://dx.doi.org/10.3390/diagnostics12102286 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pertea, Mihaela
Lunca, Sorinel
Filip, Alexandru
Moraru, Dan Cristian
Carp, Claudiu
Pinzaru, Roxana
Poroch, Vladimir
Veliceasa, Bogdan
Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title_full Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title_fullStr Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title_full_unstemmed Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title_short Atypical Sites of the Lipoma on the Hand and Fingers: Clinical and Imaging Features and Surgical Outcomes
title_sort atypical sites of the lipoma on the hand and fingers: clinical and imaging features and surgical outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600489/
https://www.ncbi.nlm.nih.gov/pubmed/36291975
http://dx.doi.org/10.3390/diagnostics12102286
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