Carpal Tunnel Syndrome Secondary to the Lipoma Mass: A Case Report and Review of Literature
Abstract
Background: Lipomas are benign adipocyte proliferations and the most common tumors in soft tissue, although the appearance of this tumor in the hand is rare. The most common peripheral compressive neuropathy is carpal tunnel syndrome (CTS). CTS caused by a space-occupying lesion such as lipomas is rare and causes more complications than idiopathic CTS.
Case Report: This report was about a case of a 62-year-old woman with a giant painless mass on the first web of her right hand, with no systemic symptom and just a burning sensation in her fingers. After evaluations, CTS was diagnosed. Surgical dissection of the mass was performed, and the patient’s symptoms improved. The pathology report indicated that the mass was a lipoma.
Conclusion: It is essential to examine the presence of different masses when the patient has neurological symptoms without justifying the history.
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5. Cemboluk O, Daldal I, Topcu HN. Giant lipoma of the hand to extending from thenar region to deep palmar space: A case report. J Biol Rhythm. 2017;3(4):212-5.
6. Sbai MA, Benzarti S, Msek H, Boussen M, Khorbi A. Carpal tunnel syndrome caused by lipoma: A case report. Pan Afr Med J. 2015;22:51. doi: 10.11604/pamj.2015.22.51.7650. [PubMed: 26664552]. [PubMed Central: PMC4662536].
7. Clesham K, Galbraith JG, Ramasamy A, Karkuri A. Giant lipoma of the hand causing median nerve compression. BMJ Case Rep. 2017;2017: bcr2017220056. doi: 10.1136/bcr-2017-220056. [PubMed: 28659368]. [PubMed Central: PMC5534927].
8. Duncan SFM, Kakinoki R. Carpal tunnel syndrome and related median neuropathies: challenges and complications. Cham, Switzerland: Springer International Publishing; 2017.
9. Jalan D, Garg B, Marimuthu K, Kotwal P. Giant lipoma: An unusual cause of carpal tunnel syndrome. Pan Afr Med J.
2011;9:29. doi: 10.4314/pamj.v9i1.71205. [PubMed: 22355434].
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10. Dahmani Y, Errachid MB, Bassir RA, Boufettal M, Kharmaz M, Lamrani MO, et al. Carpal tunnel lipoma: A rare case report. SAS J Surg. 2021;7(6):323-5. doi: 10.36347/sasjs.2021.v07i06.015.
11. Radivojcevic Um, Ilic M, Vulovic D. Giant hand lipoma-case report of a rare localization of a common type of tumor. SANAMED. 2016;11(2):141-4. doi: 10.5937/sanamed1602141R.
12. Sayilir S. A rare cause of carpal tunnel syndrome: Deep tissue
lipomas. Turk J Osteoporos. 2017;23:82-3. doi: 10.4274/tod.52244.
13. Ribeiro G, Salgueiro M, Andrade M, Fernandes VS. Giant palmar lipoma - an unusual cause of carpal tunnel syndrome. Rev Bras Ortop. 2017;52(5):612-5. doi: 10.1016/j.rboe.2017.08.001. [PubMed: 29062828]. [PubMed Central: PMC5643901].
14. Barreira M, Marques N, Campos V, Marques G, Goncalves S, Stefanova AS. A giant hand lipoma as a rare cause of secondary carpal tunnel syndrome - A case report. Int J Surg Case Rep. 2020;77:538-42. doi: 10.1016/j.ijscr.2020.11.083. [PubMed: 33395841]. [PubMed Central: PMC7701893].
15. Salazar-Vizuet I, Cobos-Bonilla MG, Villar-Trujillo A, et al. Giant palmar lipoma an unusual cause of carpal tunnel syndrome. Cir Plast. 2020;30(3):160-166. doi: 10.35366/98341.
16. Kim DG, Hwang SI. Deep-Seated Giant Lipoma on the Hand Inducing Carpal Tunnel Syndrome. Soonchunhyang Med Sci. 2020;26 (1): 19-21. doi: 10.15746/sms.20.005.
17. Stavrakakis I, Georgopoulou V, Magarakis G, Katsafarou M. Sensory and Motor Median Nerve Neuropathy due to a Deep Giant Hand Lipoma. A Case Report. Rev Bras Ortop. 2021. doi: 10.1055/s-0041-1726072.
18. Tellier B, Gabrian M, Jaquet JB. Carpal tunnel syndrome caused by a giant lipoma of the hand: A case report. Int J Surg Case Rep. 2021;80:105647. doi: 10.1016/j.ijscr.2021.105647. [PubMed: 33631649]. [PubMed Central: PMC7907470].
2. Unal M, Demirayak E, Acar B, Kose O. Simultaneous median and ulnar compression neuropathy secondary to a giant palmar lipoma: A case report and review of the literature. Cureus. 2018;10(2):e2198. doi: 10.7759/cureus.2198. [PubMed: 29666776]. [PubMed Central: PMC5902084].
3. Fazilleau F, Williams T, Richou J, Sauleau V, Le Nen D. Median nerve compression in carpal tunnel caused by a giant lipoma. Case Rep Orthop. 2014;2014:654934. doi: 10.1155/2014/654934. [PubMed: 24876983]. [PubMed Central: PMC4024428].
4. Singh V, Kumar V, Singh AK. Case report: A rare presentation of Giant palmar lipoma. Int J Surg Case Rep. 2016;26:21-3. doi: 10.1016/j.ijscr.2016.06.036. [PubMed: 27429180]. [PubMed Central: PMC4954940].
5. Cemboluk O, Daldal I, Topcu HN. Giant lipoma of the hand to extending from thenar region to deep palmar space: A case report. J Biol Rhythm. 2017;3(4):212-5.
6. Sbai MA, Benzarti S, Msek H, Boussen M, Khorbi A. Carpal tunnel syndrome caused by lipoma: A case report. Pan Afr Med J. 2015;22:51. doi: 10.11604/pamj.2015.22.51.7650. [PubMed: 26664552]. [PubMed Central: PMC4662536].
7. Clesham K, Galbraith JG, Ramasamy A, Karkuri A. Giant lipoma of the hand causing median nerve compression. BMJ Case Rep. 2017;2017: bcr2017220056. doi: 10.1136/bcr-2017-220056. [PubMed: 28659368]. [PubMed Central: PMC5534927].
8. Duncan SFM, Kakinoki R. Carpal tunnel syndrome and related median neuropathies: challenges and complications. Cham, Switzerland: Springer International Publishing; 2017.
9. Jalan D, Garg B, Marimuthu K, Kotwal P. Giant lipoma: An unusual cause of carpal tunnel syndrome. Pan Afr Med J.
2011;9:29. doi: 10.4314/pamj.v9i1.71205. [PubMed: 22355434].
[PubMed Central: PMC3215551].
10. Dahmani Y, Errachid MB, Bassir RA, Boufettal M, Kharmaz M, Lamrani MO, et al. Carpal tunnel lipoma: A rare case report. SAS J Surg. 2021;7(6):323-5. doi: 10.36347/sasjs.2021.v07i06.015.
11. Radivojcevic Um, Ilic M, Vulovic D. Giant hand lipoma-case report of a rare localization of a common type of tumor. SANAMED. 2016;11(2):141-4. doi: 10.5937/sanamed1602141R.
12. Sayilir S. A rare cause of carpal tunnel syndrome: Deep tissue
lipomas. Turk J Osteoporos. 2017;23:82-3. doi: 10.4274/tod.52244.
13. Ribeiro G, Salgueiro M, Andrade M, Fernandes VS. Giant palmar lipoma - an unusual cause of carpal tunnel syndrome. Rev Bras Ortop. 2017;52(5):612-5. doi: 10.1016/j.rboe.2017.08.001. [PubMed: 29062828]. [PubMed Central: PMC5643901].
14. Barreira M, Marques N, Campos V, Marques G, Goncalves S, Stefanova AS. A giant hand lipoma as a rare cause of secondary carpal tunnel syndrome - A case report. Int J Surg Case Rep. 2020;77:538-42. doi: 10.1016/j.ijscr.2020.11.083. [PubMed: 33395841]. [PubMed Central: PMC7701893].
15. Salazar-Vizuet I, Cobos-Bonilla MG, Villar-Trujillo A, et al. Giant palmar lipoma an unusual cause of carpal tunnel syndrome. Cir Plast. 2020;30(3):160-166. doi: 10.35366/98341.
16. Kim DG, Hwang SI. Deep-Seated Giant Lipoma on the Hand Inducing Carpal Tunnel Syndrome. Soonchunhyang Med Sci. 2020;26 (1): 19-21. doi: 10.15746/sms.20.005.
17. Stavrakakis I, Georgopoulou V, Magarakis G, Katsafarou M. Sensory and Motor Median Nerve Neuropathy due to a Deep Giant Hand Lipoma. A Case Report. Rev Bras Ortop. 2021. doi: 10.1055/s-0041-1726072.
18. Tellier B, Gabrian M, Jaquet JB. Carpal tunnel syndrome caused by a giant lipoma of the hand: A case report. Int J Surg Case Rep. 2021;80:105647. doi: 10.1016/j.ijscr.2021.105647. [PubMed: 33631649]. [PubMed Central: PMC7907470].
| Files | ||
| Issue | Vol 7, No 4 (2021) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v7i4.8866 | |
| Keywords | ||
| Lipomas; Carpal Tunnel Syndromes; Peripheral Nervous System Diseases; Tomaculous Neuropathy | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Talebi S, Sheibani S, Teimourey A, Dehghan M. Carpal Tunnel Syndrome Secondary to the Lipoma Mass: A Case Report and Review of Literature. J Orthop Spine Trauma. 2022;7(4):159-161.
