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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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2009-01-01
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Series: | Indian Journal of Plastic Surgery |
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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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institution | Directory Open Access Journal |
issn | 0970-0358 1998-376X |
language | English |
last_indexed | 2024-04-13T16:22:02Z |
publishDate | 2009-01-01 |
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series | Indian Journal of Plastic Surgery |
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 |