Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus
A 40-year-old female presented for surgical consultation of an upper extremity soft tissue mass. Initial ultrasound report recorded a 5.5 cm mass, consistent with a subcutaneous lipoma. Intra-operative visualization revealed an intramuscular lipoma emerging from brachialis muscle. Post-excision MRI...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322007609 |
| _version_ | 1797990837072691200 |
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| author | Amanda K. Moorefield, DO Virender Singhal, MD |
| author_facet | Amanda K. Moorefield, DO Virender Singhal, MD |
| author_sort | Amanda K. Moorefield, DO |
| collection | DOAJ |
| description | A 40-year-old female presented for surgical consultation of an upper extremity soft tissue mass. Initial ultrasound report recorded a 5.5 cm mass, consistent with a subcutaneous lipoma. Intra-operative visualization revealed an intramuscular lipoma emerging from brachialis muscle. Post-excision MRI was ordered for continued axillary fullness which revealed lipomatous extension into axilla and posterior arm with multiple level encasement of the brachial plexus. Lipomas with brachial plexus involvement are rare and can present with a range of symptoms and distortion of local anatomy. Surgical debulking is challenging requiring microsurgical expertise for adequate removal and to minimize long-term neurological deficits. |
| first_indexed | 2024-04-11T08:42:46Z |
| format | Article |
| id | doaj.art-239c8bbbb6bb45d8975e2801ffed0481 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-11T08:42:46Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-239c8bbbb6bb45d8975e2801ffed04812022-12-22T04:34:05ZengElsevierRadiology Case Reports1930-04332022-12-01171248934898Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexusAmanda K. Moorefield, DO0Virender Singhal, MD1Division of Clinical Anatomy, Kansas City University; Kansas City, MO, USA; Corresponding author.Private Practice, Singhal Plastic Surgery, Kansas City, MO, USAA 40-year-old female presented for surgical consultation of an upper extremity soft tissue mass. Initial ultrasound report recorded a 5.5 cm mass, consistent with a subcutaneous lipoma. Intra-operative visualization revealed an intramuscular lipoma emerging from brachialis muscle. Post-excision MRI was ordered for continued axillary fullness which revealed lipomatous extension into axilla and posterior arm with multiple level encasement of the brachial plexus. Lipomas with brachial plexus involvement are rare and can present with a range of symptoms and distortion of local anatomy. Surgical debulking is challenging requiring microsurgical expertise for adequate removal and to minimize long-term neurological deficits.http://www.sciencedirect.com/science/article/pii/S1930043322007609Intramuscular lipomaBrachial plexusBrachialis muscleIntermuscular lipomaUltrasonographyMRI |
| spellingShingle | Amanda K. Moorefield, DO Virender Singhal, MD Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus Radiology Case Reports Intramuscular lipoma Brachial plexus Brachialis muscle Intermuscular lipoma Ultrasonography MRI |
| title | Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| title_full | Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| title_fullStr | Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| title_full_unstemmed | Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| title_short | Upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| title_sort | upper extremity mass with lipomatous axillary involvement and multiple level encasement of the brachial plexus |
| topic | Intramuscular lipoma Brachial plexus Brachialis muscle Intermuscular lipoma Ultrasonography MRI |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322007609 |
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