Giant Lipofibromatous Hamartoma of Median Nerve in a Child

Lipofibromatous hamartoma (LFH) is a rare fibrofatty tumor of adipocytes within peripheral nerves, affecting mainly children. It typically presents as a palpable mass surrounding the nerves of the upper limbs, causing pain and neurological deficits in the affected nerve distribution. We report the...

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Main Authors: RICARDO VIEIRA TELES FILHO, Guilherme de Matos Abe, Paulo Henrique de Aquino Júnior, Giovanni Ferreira Viggiano, Bruna Ribas Teixeira, Murilo Eugênio Oliveira
Format: Article
Language:English
Published: Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) 2023-05-01
Series:Clinical and Biomedical Research
Online Access:https://seer.ufrgs.br/index.php/hcpa/article/view/125914
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author RICARDO VIEIRA TELES FILHO
Guilherme de Matos Abe
Paulo Henrique de Aquino Júnior
Giovanni Ferreira Viggiano
Bruna Ribas Teixeira
Murilo Eugênio Oliveira
author_facet RICARDO VIEIRA TELES FILHO
Guilherme de Matos Abe
Paulo Henrique de Aquino Júnior
Giovanni Ferreira Viggiano
Bruna Ribas Teixeira
Murilo Eugênio Oliveira
author_sort RICARDO VIEIRA TELES FILHO
collection DOAJ
description Lipofibromatous hamartoma (LFH) is a rare fibrofatty tumor of adipocytes within peripheral nerves, affecting mainly children. It typically presents as a palpable mass surrounding the nerves of the upper limbs, causing pain and neurological deficits in the affected nerve distribution. We report the case of a child with a 2-years presentation of a mass in the right wrist associated with pain and paresthesia, who underwent investigation with magnetic resonance imaging (MR I). It showed thickening of the median nerve with spaghetti-like appearance associated with lipomatous tissue in a coaxial cable-like pattern, both features characteristic of LFH. This case illustrates the importance of MRI in the differential diagnosis of limb masses in the pediatric population.
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publisher Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)
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spelling doaj.art-5142fc1b338f4e22b28376b426129e812023-05-30T18:09:25ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research2357-97302023-05-01431Giant Lipofibromatous Hamartoma of Median Nerve in a ChildRICARDO VIEIRA TELES FILHOGuilherme de Matos AbePaulo Henrique de Aquino JúniorGiovanni Ferreira ViggianoBruna Ribas TeixeiraMurilo Eugênio Oliveira Lipofibromatous hamartoma (LFH) is a rare fibrofatty tumor of adipocytes within peripheral nerves, affecting mainly children. It typically presents as a palpable mass surrounding the nerves of the upper limbs, causing pain and neurological deficits in the affected nerve distribution. We report the case of a child with a 2-years presentation of a mass in the right wrist associated with pain and paresthesia, who underwent investigation with magnetic resonance imaging (MR I). It showed thickening of the median nerve with spaghetti-like appearance associated with lipomatous tissue in a coaxial cable-like pattern, both features characteristic of LFH. This case illustrates the importance of MRI in the differential diagnosis of limb masses in the pediatric population. https://seer.ufrgs.br/index.php/hcpa/article/view/125914
spellingShingle RICARDO VIEIRA TELES FILHO
Guilherme de Matos Abe
Paulo Henrique de Aquino Júnior
Giovanni Ferreira Viggiano
Bruna Ribas Teixeira
Murilo Eugênio Oliveira
Giant Lipofibromatous Hamartoma of Median Nerve in a Child
Clinical and Biomedical Research
title Giant Lipofibromatous Hamartoma of Median Nerve in a Child
title_full Giant Lipofibromatous Hamartoma of Median Nerve in a Child
title_fullStr Giant Lipofibromatous Hamartoma of Median Nerve in a Child
title_full_unstemmed Giant Lipofibromatous Hamartoma of Median Nerve in a Child
title_short Giant Lipofibromatous Hamartoma of Median Nerve in a Child
title_sort giant lipofibromatous hamartoma of median nerve in a child
url https://seer.ufrgs.br/index.php/hcpa/article/view/125914
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