Lipofibromatous Hamartoma of the Median Nerve: A Case Report

Author:

Bhatnagar Rachit1,Tiwari Ajeet2,Gupta Deepti1

Affiliation:

1. Department of Orthopaedics, GSVM Medical College, Swaroop Nagar, Kanpur, Uttar Pradesh, India

2. Department of Hand Surgery, Regency Health Hospital, Kanpur, Uttar Pradesh, India

Abstract

Abstract Lipofibromatous hamartoma (LFH) or lipomatosis of the nerve is a benign neoplasm of unclear etiology, which is characterized by fibrofatty proliferation within peripheral nerves. Here, we present a case of a 53-year-old female, right-hand dominant, with chief complaints of a lump in her left palm for many years, and numbness in her thumb, index finger, and middle finger of the left hand past 12 months. According to the patient, the lump has been increasing in size for the last 1 year. The LFH was diagnosed with the help of magnetic resonance imaging images having the presence of thickening of the median nerve, with a coaxial cable-like appearance. The patient was managed surgically through debulking to elevate the pain and numbness. The lack of etiopathogenesis makes the condition difficult to diagnose. Management of LFH is purely based on the extent of the lesion. Conservation of the neurological and sensory function of the nerve while performing surgery was our prime focus. More accurate and reliable tools for diagnosis or precise consensus guidelines will help in early intervention and better outcomes in such patients.

Publisher

Medknow

Reference11 articles.

1. Lipofibromatous hamartoma of median nerve: A review article;Verma;Int J Orthop Sci,2021

2. Lipofibromatous hamartoma of the median nerve: A case report;Shekhani;J Radiol Case Rep,2016

3. Lipofibromatous hamartoma in a Hispanic patient with macrodactyly: A rare peripheral nerve tumor causing recurrent carpal tunnel syndrome;Pinci;J Surg Case Rep,2020

4. Fibrolipomatous hamartoma (FLH) of median nerve: A rare case report and review;Ranjan;Indian J Orthop,2020

5. 10-year clinical follow-up after decompression of lipofibromatous hamartoma of the median nerve in a 3-year-old patient: Case report and review of the literature;Yoo;Children (Basel),2023

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