Journal of the Bulgarian Orthopaedics and Trauma Association (Jul 2024)
Palmar Lipoma in an Unusual Location – Diagnostic Challenges and Surgical Treatment
Abstract
Lipomas are the most commonly encountered benign tumors of the soft tissues, but they are rarely located in the palm. Their presence in this area can lead to functional impairments and pose a diagnostic challenge due to the complex anatomy of the hand. We present a clinical case of a 59-year-old woman with a one-year history of a progressively enlarging lipoma in the subcutaneous fat tissue of the palmar area of her right hand. Preoperative diagnosis was made using magnetic resonance imaging and radiography. The tumor was surgically removed. The patient achieved full recovery of hand function after the operation. Histological examination confirmed the diagnosis of lipoma. This case highlights the importance of including lipoma in the differential diagnosis of hand tumors, even when they are located in unusual areas. Early diagnosis and surgical treatment can prevent functional limitations and provide optimal outcomes for patients.
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