Symmetric lipofibromatous hamartoma affecting digital nerves.
Lipofibromatous hamartoma of the nerve is a benign tumor, which affects the major nerves and their branches in the human body. It is often found in the median nerve of the hand and is commonly associated with macrodactyly, but it is rarely found in the digital nerves at the peripheral level. This tumor is often found in young adults and may go through a self- limiting course. However, operation is indicated when the tumor size is large or when the associated nerve compressive symptoms are present. We have experienced a rare case of lipofibromatous hamartoma that symmetrically involved the volar digital nerves of both index fingers on the ulnar side. With the aid of a microscope, we dissected and removed the tumor as much as possible without sacrificing the nerve. No sensory change occurred in both fingers and no sign of recurrence was observed upon follow-up.
Jung
Sung-No
SN
Department of Plastic Surgery, Uijongbu St. Mary's Hospital, College of Medicine, Catholic University of Korea, 65-1 Kumoh-Dong, Uijeongbu, 480-135, Korea.
Yim
Youngmin
Y
Kwon
Ho
H
D000273:Adipose Tissue / Q000473:pathology; D000328:Adult; D005260:Female; D005385:Fingers / Q000294:innervation* / Q000473:pathology; D006222:Hamartoma / Q000150:complications / Q000473:pathology*; D006801:Humans; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000473:pathology*
Pathol Int. 2002 Nov;52(11):730-3
12685550
Plast Reconstr Surg. 1968 Nov;42(5):403-13
4301740
J Bone Joint Surg Am. 1969 Jul;51(5):984-90
5798113
Ann Surg. 1972 Aug;176(2):217-22
5077083
Radiographics. 1991 Jan;11(1):81-106
1996399
Hand Clin. 1985 Aug;1(3):511-24
3938454
J Hand Surg Am. 1988 Jan;13(1):67-75
3351231
J Bone Joint Surg Br. 1989 Mar;71(2):331-2
2538478
Acta Orthop Scand. 1990 Apr;61(2):181-2
2360437
J Bone Joint Surg Am. 1979 Apr;61(3):393-7
429410