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

Author:

Yoo Seung Jin1ORCID,Kim Dae Hwan1,Cho Seong Hyun1,Lee Kyung Ryeol2,Seo Kyu Bum1ORCID

Affiliation:

1. Division of Hand and Microsurgery, Department of Orthopedic Surgery, Jeju National University Hospital, Jeju 63241, Republic of Korea

2. Department of Radiology, Jeju National University Hospital, Jeju 63241, Republic of Korea

Abstract

Lipofibromatous hamartoma, first reported in 1953, is a rare, slowly progressive soft tissue tumor, the characteristics of which include the enlargement of the affected nerve via the epineurial and perineurial proliferation of adipose and fibrous tissues. Out of 200 previously reported cases of lipofibromatous hamartoma of the median nerve, there have been approximately 25 pediatric cases under the age of 18. Herein, we report a case of lipofibromatous hamatoma of the median nerve in a 3-year-old female patient who was surgically decompressed via carpal tunnel release and epineurolysis. The patient was followed-up on an outpatient clinic basis annually with sonographic evaluations, and the postoperative 10th-year follow-up did not show recurrence or any deficits in motor and sensory functions.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Reference35 articles.

1. AMERICAN Society for Surgery of the hand;Mason;J. Bone Jt. Surgery. Am. Vol.,1953

2. Lipofibromatous hamartoma of the median nerve: A comprehensive review and systematic approach to evaluation, diagnosis, and treatment;Tahiri;J. Hand Surg.,2013

3. Lipofibromatous hamartoma: Review of early diagnosis and treatment;Razzaghi;Can. J. Surg.,2005

4. Carpal tunnel syndrome in children;Lipowska;J. Child Neurol.,2014

5. Lipofibromatous hamartoma of the median nerve;Agarwal;J. Hand Surg.,2013

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