Scribd Logo
Upload

Welcome to Scribd!

  • 3-4 Lipome Main

    Uploaded by

    Professeur Christian Dumontier
    1K views8 pages
    The document discusses lipomas of the hand. It notes that lipomas are the most common benign soft tissue tumors, and while rare on the hand, they represent 4% of hand tumors, occurring most often on the thenar and hypothenar eminences and palm. Diagnosis is typically clinical based on an indolore, mobile, regular soft tissue mass that solidifies when cooled. MRI can help in diagnosis, confirming a benign lipoma in 94% of cases. Treatment is complete marginal excision of the mass, with larger masses over 5 cm warranting increased scrutiny to rule out atypical lipoma or liposarcoma.

    Original Description:

    topo DIU

    Copyright

    © © All Rights Reserved

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document discusses lipomas of the hand. It notes that lipomas are the most common benign soft tissue tumors, and while rare on the hand, they represent 4% of hand tumors, occurring most often on the thenar and hypothenar eminences and palm. Diagnosis is typically clinical based on an indolore, mobile, regular soft tissue mass that solidifies when cooled. MRI can help in diagnosis, confirming a benign lipoma in 94% of cases. Treatment is complete marginal excision of the mass, with larger masses over 5 cm warranting increased scrutiny to rule out atypical lipoma or liposarcoma.

    Copyright:

    © All Rights Reserved
    Flag for inappropriate content
    1K views8 pages

    3-4 Lipome Main

    Uploaded by

    Professeur Christian Dumontier
    The document discusses lipomas of the hand. It notes that lipomas are the most common benign soft tissue tumors, and while rare on the hand, they represent 4% of hand tumors, occurring most often on the thenar and hypothenar eminences and palm. Diagnosis is typically clinical based on an indolore, mobile, regular soft tissue mass that solidifies when cooled. MRI can help in diagnosis, confirming a benign lipoma in 94% of cases. Treatment is complete marginal excision of the mass, with larger masses over 5 cm warranting increased scrutiny to rule out atypical lipoma or liposarcoma.

    Copyright:

    © All Rights Reserved
    Flag for inappropriate content
    of 8

    LIPOMES DE LA MAIN

    Sylvie Carms
    Urgences Main Guadeloupe

    LIPOMES

    Les plus frquentes des tumeurs bnignes

    Rares la main, reprsentent 4% des tumeurs de la


    main - Eminence thnar et hypothnar et face
    palmaire de la main surtout

    5% des lipomes du membre suprieur sont la main

    On parle de lipome gant si > 5 cm

    DIAGNOSTIC CLINIQUE

    Indolore, tumeur molle, rgulire


    et mobile. Croissance lente

    Test de lapplication de glace


    (solidification de la tumeur Posch)

    Parfois rvle par des signes de


    compression nerveuse
    (syndrome du canal carpien, nerf
    ulnaire au Guyon, nerfs digitaux).
    Posch JL. Tumors of the hand. J Bone Joint Surg 1956;38A(3):51740.

    DIAGNOSTIC

    IRM (hypersignal en T1et T2,


    avec rduction du signal sur
    les squences de
    suppression de graisse)

    Srie de 134 IRM, diagnostic


    propratoire de lipome
    bnin a t confirm par
    lhistologie dans 94 % des
    cas.

    Capelastegui A, Astigarraga E, Fernandez-Canton G, Saralegui I, Larena JA, Merino A. Masses and pseudomasses of the
    hand and wrist: MR findings in 134 cases. Skeletal Radiol 1999;28(9):498507.

    TRAITEMENT

    Excision(biopsiechirurgicale) marginale suffit

    Se mfier des lsions > 5


    cm (liposarcome/lipome
    atypique ?)

    You might also like