Journal of Japan Society of Plastic and Reconstructive Surgery
Online ISSN : 2758-271X
Print ISSN : 0389-4703
Case Reports
A Case of Intraneural Lipoma of the Wrist Arising within the Median Nerve
Takashi YOSHITAKE, M.D.Wataru AKAISHI, M.D.Reiji NISHIMURA, M.D., Ph.D.Takeshi MIYAWAKI, M.D., Ph.D.
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2023 Volume 43 Issue 5 Pages 269-277

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Abstract

 We report the case of an intraneural lipoma of the right wrist joint arising from the median nerve involving a 45-year-old man. Histopathological analysis after excision demonstrated that the tumor was located within the epineurium of the median nerve, and a diagnosis of intraneural lipoma was made. There are only 31 reported cases of intraneural lipoma arising from the median nerve in the literature, showing that the condition is rare. Patients should be informed before surgery that neuropathy is a possible complication, and detailed assessments of neurological symptoms both before and after surgery should be made. Removal of the lipoma under a microscope is advised, and carpal tunnel release is considered acceptable to prevent carpal tunnel syndrome after surgery.

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© 2023 Japan Society of Plastic and Reconstructive Surgery
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