Work

Lipoma in uncommon site: A case report of finger lipoma from Nepal

Year: 2024

Type: article

Abstract: INTRODUCTION: Lipomas are the most common benign mesenchymal tumors, making up 50 % of soft tissue tumors. However, while they frequently occur in areas like the head, neck, shoulders, and back, lipomas in the hands and wrists are rare, particularly in the fingers where they are exceptionally uncommon. CASE PRESENTATION: We present a case of 62-year-old female presented with a six-year history of a gradually enlarging, painful swelling on the palmar aspect at the base of her left index finger. Examination revealed a soft, fluctuating, 3 cm × 2 cm swelling. USG and MRI suspected it to be a lipoma. The lesion was excised, and histopathology confirmed a benign lipoma. DISCUSSION: Lipomas, derived from mesenchymal preadipocytes, often have genetic and metabolic links, including in individuals with obesity, hyperlipidemia, and diabetes. While typically asymptomatic, lipomas in the hands and fingers can cause pain and impairment, necessitating surgical resection. Accurate diagnosis may require imaging, and treatment yields favourable outcomes with low recurrence rates. CONCLUSION: Despite their rarity, lipomas in the hands and fingers should be considered when evaluating non-discharging swellings. Surgical resection is the primary treatment.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110449

Authors: Suchit Thapa Chhetri, Sumit Kumar Sah, Bishal Kunwor, Madhu Sudan Aryal, Pradeep Pudasaini, Samir Marasini

Institution: Nepalese Army Institute of Health Services

Language: English

Topic: Soft tissue tumors and treatment

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800