title: Whether to excise a lipofibroma of the median nerve.
abstract: A 28-year-old man presented with a lipofibroma of the median nerve of the left hand. We released the carpal tunnel, did a neurolysis, and biopsied of the median nerve together with a distal fasciotomy of the forearm. Two years after the operation, the paraesthesiae of the middle finger had improved but was still present to a lesser degree. Initial considerations about treatment should be directed toward biopsy and alleviation of the compression neuropathy, rather than total excision.
authors.affiliation: Department of Orthopaedic Surgery, Kiwa Hospital, Wakayama, 648-0085, Japan. toruyama@zeus.eonet.ne.jp
authors.forename: Toru
authors.initials: T
authors.lastname: Yamauchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Yoshii
authors.forename: Takeo
authors.initials: T
authors.lastname: Sempuku
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D002349:Carpal Tunnel Syndrome / Q000209:etiology / Q000601:surgery*; D004568:Electrodiagnosis; D005350:Fibroma / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D005500:Follow-Up Studies; D006225:Hand / Q000503:physiopathology; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D008475:Median Nerve / Q000473:pathology* / Q000601:surgery; D009431:Neural Conduction; D010524:Peripheral Nervous System Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome