Giant Lipoma of the Hand

Author:

Georgiev G. P.1,Telang M.2,Firoozi B.3,Ananiev J.4,Landzhov B.2,Olewnik Ł.5,Stokov L.3

Affiliation:

1. Department of Orthopedics and Traumatology , University Hospital Tsaritsa Ioanna – ISUL, Medical University – Sofia , Bulgaria

2. Department of Anatomy, Histology and Embryology , Medical University – Sofia , Bulgaria

3. Clinic of Orthopedics and Traumatology , UMHAT “Sv. Anna” – Sofia , Bulgaria

4. Department of General and Clinical Pathology, Faculty of Medicine , Trakia University – Stara Zagora , Bulgaria

5. Department of Anatomical Dissection and Donation, Chair of Anatomy and Histology , Medical University – Lodz

Abstract

Abstract Lipomas have been called “innocent tumors” due to their slow growth without infiltrating neighbouring structures, usually with a rounded or ovoid shape, rarely over 2 cm in size. In the area of the upper limb, lipomas over 5 cm are defined as “giant lipomas”. In this report, we present a rare case of a “giant lipoma” in the hand in a 60-year-old man. He complained of painless swelling, which appeared eight years before and gradually increased in size until the last year, when a significant enlargement appeared; thus, the soft tissue mass led to the inability to perform daily tasks, and the patient sought medical care. Computed tomography suggested the diagnosis of lipoma. Thereafter, successful surgical excision was performed, and no recurrences were observed two years after the operation. The clinical signs, imaging, and treatment methods of this case are briefly presented.

Publisher

Walter de Gruyter GmbH

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