Giant Intramuscular Lipoma of Arm: A Case Report and Review of the Literature (original) (raw)
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Case report: Giant intermuscular lipoma of the forearm
Surgical Practice, 2006
Lipoma is the commonest soft tissue tumour, usually found subcutaneously. However, intermuscular and intramuscular lipomas are uncommon and they rarely occur in the distal extremities where they can be associated with restriction of movement or nerve compression syndromes. These lesions can prove a diagnostic challenge, and should be managed differently from subcutaneous lipomas as their proximity to neurovascular structures and distortion of anatomy pose a risk during excision. As well, intramuscular lipomas are prone to recur.
2015
Introduction: Lipomas are most commonly found superficially and in the subcutaneous layer. We present an interesting and uncommon case of a large lipoma. Seventy five years old male presented with swelling in his left non dominant forearm investigated and diagnosed with submuscular lipoma. Clinical presentation, investigation, treatment and follow up described below. Case Report: The patient presented with left no dominant forearm lump. The lump gradually increased in size for the last 6 months to a noticeable size. On examination there was a immobile palpable mass with no significant tenderness or neurological deficit distally apart of deep ache at night. The patient been referred to orthopaedic and trauma department from his local general practice doctor. The patient investigated initially with ultrasonography imaging which showed features that suggest lipoma within the deep extensor compartment of the forearm engulfing the posterior interosseous nerve (PIN) giving ultrasonic sept...
Archives of Orthopaedic and Trauma Surgery, 2020
Lipomas are frequent benign soft-tissue tumors mainly located in the subcutis. Occasionally, subfascial or inter-or intramuscular lipomas are encountered. This case report describes the surgical management of a very rare giant intramuscular lipoma of the right biceps brachii muscle in a 71-year-old male patient. Preoperative magnetic resonance imaging as well as intraoperative photographs depict the complexity of this case and aid in the discussion about indications for surgery, as management guidelines of these deep-seated tumors are still inconsistent.
Giant Lipomas of the Hand. Our Experience
Revista Iberoamericana de Cirugía de la Mano
Objective Giant lipomas are benign tumors larger than 5 cm in size that are very uncommun in the hand, with the extant literature limited to case reports and small case series. The aim of the present study is to describe our experience with giant lipomas at the level of the hand, reviewing the most important aspects in relation to their diagnosis and treatment. Material and Methods We present 6 patients treated in our service with giant lipomas of the hand between 2007 and 2015. Four cases only presented difficulty in grasping and mobilizing the hand due to the large size of the lipoma. Two cases were accompanied by a clinical feature of compression of the median nerve in relation to its location within the carpal tunnel. Results All patients underwent surgery, and a complete excision of the lipoma was performed. The functional results have been satisfactory in all cases. Conclusions Giant lipomas of the hand are infrequent tumors of slow growth, generally asymptomatic, although the...
Beyond the depths: deep-seated lipoma of the upper limb
European Journal of Plastic Surgery, 2013
Background Deep-seated lipomas are mature fat tissues which may occur in intermuscular, intramuscular, or submuscular locations. Unlike benign subcutaneous lipoma, which usually only grow on skin surface, deep-seated lipoma generally grow slowly and may sometimes infiltrate deeply and wrap around nerves. Methods A retrospective review of all patients with deepseated lipomas of the upper limb, operated on between 2002 and 2009 at our center, was carried out. Clinical and radiological characteristics, treatment, and evolution profile of these patients were also evaluated. Results Five patients were identified. The mean age of patients was 71 years (range 60 to 77 years). The mean follow-up period was 2 years and there was no recurrence after the surgery. Conclusions The complicated growing patterns of deepseated lipoma have brought about difficulties during diagnostic and surgical procedures. A marked similarity of physical characteristics between a deep-seated lipoma and other softtissue masses can cause several confusions, while a careless dissection can cause severe damage to nearby nerves. Level of Evidence: Level V, therapeutic study
Hand and Microsurgery, 2015
Objective: Lipomas are the most common type of soft-tissue tumor found in the body. Very few of the benign tumors of the hand are classified as lipomas. Also, giant lipomas of the hand are extremely rare. The goal of this study was to present the cases of patients suffering from giant lipomas of the hand. Methods: 5 patients (3 females and 2 males) with giant lipomas of the hand were treated in our clinic between January 2012 and April 2014. Patients with lipomatous tumors of the hand having diameters equal or greater than 5 centimeters were included in our study. Both preoperatively and postoperatively, physical examination and magnetic resonance imaging (MRI) were used for diagnosis and determination of any residual mass. In the first month, the patients' satisfaction rates were evaluated. Results: All 5 patients were operated upon. The mean age was 60.6 years. Postoperatively (1st month), no residual masses were found. The satisfaction rates of all patients in the 1st month were 100%. Conclusion: Giant lipomas of the hand are very rare and may cause compressions and other complications. Thus, they require a careful preoperative evaluation in order to make a proper differential diagnosis.
An unusual case of an intramuscular lipoma of the biceps brachii
The Pan African Medical Journal, 2013
Lipomas are common benign neoplasms consisting of mature fatty tissue. They are usually of roundish or ovoid shape and are situated in a single anatomical region. They most frequently occur on the back and in the extremities. Most lipomas are subcutaneous and require no imaging evaluation. When deep, large and unusual in location, MRI can identify and localise these tumours and is the best exploration to differentiate lipoma and lipo-sarcoma. We describe a case of a patient with an intramuscular lipoma of the biceps brachii.