Lipofibromatous hamartoma of the median nerve: A case report and review of the literature

A case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the vo...

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Main Authors: V. S. Patil, Sunila Nagle
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2009-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699327
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author V. S. Patil
Sunila Nagle
author_facet V. S. Patil
Sunila Nagle
author_sort V. S. Patil
collection DOAJ
description A case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the volar aspect of the wrist and in the inter-thenar area. Another mass was present at the base of the index finger, which appeared to be involving subcutaneous tissues. The clinical diagnosis was carpal tunnel syndrome due to a space occupying tumor mass in the carpal tunnel. On exploration of the carpal tunnel, a large median nerve was seen 4 cm proximal to the wrist crease line and extending distally until it divided into its branches. Another mass was present at the base of the index finger, which was adherent to the skin. The radial digital nerve of the index finger was normal in size. For the enlarged nerve, an epineurotomy was performed and a biopsy was taken. Another biopsy was taken from the distal mass. His postoperative period was uneventful. In July 2004, at the end of 5 years, the patient had no symptoms and the size of the tumor had not increased.
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spelling doaj.art-7f04abbdf5d64796b10757b97d6210432022-12-22T02:39:53ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01420112212510.1055/s-0039-1699327Lipofibromatous hamartoma of the median nerve: A case report and review of the literatureV. S. Patil0Sunila Nagle1Chief Hand Surgeon-Hand Clinic, IndiaProf. Pathology Talegoan Dabhade Med. College, IndiaA case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the volar aspect of the wrist and in the inter-thenar area. Another mass was present at the base of the index finger, which appeared to be involving subcutaneous tissues. The clinical diagnosis was carpal tunnel syndrome due to a space occupying tumor mass in the carpal tunnel. On exploration of the carpal tunnel, a large median nerve was seen 4 cm proximal to the wrist crease line and extending distally until it divided into its branches. Another mass was present at the base of the index finger, which was adherent to the skin. The radial digital nerve of the index finger was normal in size. For the enlarged nerve, an epineurotomy was performed and a biopsy was taken. Another biopsy was taken from the distal mass. His postoperative period was uneventful. In July 2004, at the end of 5 years, the patient had no symptoms and the size of the tumor had not increased.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699327carpal tunnel syndromelipofibromatous hamartomamedian nerve
spellingShingle V. S. Patil
Sunila Nagle
Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
Indian Journal of Plastic Surgery
carpal tunnel syndrome
lipofibromatous hamartoma
median nerve
title Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
title_full Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
title_fullStr Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
title_full_unstemmed Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
title_short Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
title_sort lipofibromatous hamartoma of the median nerve a case report and review of the literature
topic carpal tunnel syndrome
lipofibromatous hamartoma
median nerve
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699327
work_keys_str_mv AT vspatil lipofibromatoushamartomaofthemediannerveacasereportandreviewoftheliterature
AT sunilanagle lipofibromatoushamartomaofthemediannerveacasereportandreviewoftheliterature