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Surgical Treatment of a Voluminous Median Nerve Lipofibromatous Hamartoma Involving Distal Forearm

2021; Lippincott Williams & Wilkins; Volume: 11; Issue: 2 Linguagem: Inglês

10.2106/jbjs.cc.20.01022

2160-3251

Stefano Pecchia, Matteo Guzzini, Guido Koverech, Leopoldo Arioli, Valerio Andreozzi, Dario Perugia,

Soft tissue tumor case studies

Lipofibromatous hamartoma (LFH) is a rare benign tumor of the peripheral nerves, which often affects upper extremity. There is no consensus regarding management of these lesions. We report a case of median nerve LFH in the volar forearm of a 24-year-old man with carpal tunnel syndrome symptoms. Clinically, the mass appeared tender to palpation, ill-defined and soft, located on the volar aspect of the left forearm. Open epineurotomy and neurolysis of the median nerve were performed with full recovery at 1 year.Surgical approach may be resolutive in patients with large masses refractory to conservative treatment.