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Journal of Hand Surgery (British and European Volume)
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Articles

Giant Lipomatous Tumours of the Hand and Forearm

G. L. CRIBB
W. P. COOL
D. J. FORD
D. C. MANGHAM

From Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK

Correspondence: Mr WP Cool, MD MMedSc(Res) FRCS(Ed) FRCS(Orth), Consultant Orthopaedic & Oncological Surgeon, Robert Jones & Agnes Hunt Orthopaedic Hospital Oswestry, Shropshire SY10 7AG, UK. Tel.: +44 1691 404088/+44 1691 404107; fax: +44 1691 404268. E-mail: paul.cool{at}rjah.nhs.uk

This study examines the presentation, management and outcomes of a series of 10 patients with giant lipomatous tumours (defined as greater than 5 cm diameter) of the hand and forearm who presented to our orthopaedic oncology service. All patients underwent local staging and were discussed at our multidisciplinary tumour meeting prior to definitive surgery. In all cases, neurovascular structures required mobilization in order to excise the tumour. Seven of the tumours were benign lipomas and one was a neural fibrolipoma. The other two were well differentiated lipoma-like liposarcomas/atypical lipomatous tumours. Giant lipomas and well differentiated lipoma-like liposarcomas/atypical lipomatous tumours of the hand and forearm present infrequently and a multidisciplinary approach is recommended in the investigation and surgical management of these patients.

Key Words: lipoma • liposarcoma • hand

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 5, 509-512 (2005)
DOI: 10.1016/j.jhsb.2005.05.002
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