Karpal Tünel Sendromunu Taklit Eden Dev Lipom: Olgu Sunumu

Year 2015, Volume: 40 Issue: 1, 143 - 146, 09.09.2015

Murat Zümrüt

https://doi.org/10.17826/cutf.72744

Abstract

Lipomlar, adipoz doku proliferasyonunun neden olduğu mezenşim kökenli benign tümörlerdir. Elde görülmeleri nispeten nadirdir. Dev lipomlar ağrı, rahatsızlık, güçsüzlük ve komşu yapılara oluşturdukları basıya bağlı çeşitli nöropatik sorunlara neden olabilir. Elde görülen dev lipomlar karpal tünel sendromunu taklit edebilen yer işgal eden lezyonlardır. Ameliyat öncesi tümörün genişliğini ve karpal tünel ile olan ilişkisini bilmek, başarılı cerrahi sonuçlar ile yakından ilişkilidir. Eğer tümör dikkatli bir muayene ve görüntüleme teknikleriyle doğru bir şekilde tanımlanabilirse, karpal tünel gevşetilmesi gibi bazı gerekli olmayan cerrahi müdahalelerden kaçınılmış olur. Burada, karpal tünel sendromunu taklit eden dev lipom sahibi bir hasta sunulmuş ve cerrahi öncesi değerlendirmenin önemi vurgulanmıştır.

Keywords

Dev lipom, el, eksizyon, karpal tünel

Giant Lipoma That Mimic Carpal Tunnel Syndrome: Case Report

Abstract

Lipomas are bening tumors of mesenchymatic origin, caused by adipocyte proliferation. Those arising in the hand are relatively rare. Giant lipomas may cause pain, discomfort, weakness and neuropathies by pressure on adjacent structures. Giant lipomas of the hand are space-occupying lesions that may mimic carpal tunnel syndrome. To know preoperatively that the extent of the tumor and its relation to carpal tunnel is closely associated with good surgical results. If the tumor is well-defined with the aid of a careful examination and imaging techniques, some unnecessary surgical interventions, such as carpal tunnel release may be avoided. Herein, a patient with giant lipoma that mimic carpal tunnel syndrome was reported and the importance of preoperative evaluation was emphasized

Keywords

Giant lipoma, hand, excision, carpal tunnel

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