- 期刊
Deep Palmar Lipoma-One Case Report and Review
深部手掌內脂肪瘤－病例報告及文獻回顧
摘要
在所有的手部腫瘤中，脂肪瘤楚比較少見的，只佔約5％。而手掌內脂肪瘤則更稀少。就像Alderge and Halpert這些學者提出，人體有一些部位的原發性腫瘤比較不容易發現脂肪瘤的蹤跡，特別最手掌的部位。雖然如此，經常困擾臨床醫師的問題，不在於其罕見，而在於常將手掌內脂肪瘤與肌腱瘤搞淆在一起。所以，藉由適當的放射線然具（如電腦斷層或核磁共振掃瞄），可在術前加以好好診斷出來。 並非所有的手掌內脂肪瘤都必須手術拿掉；然而當這些種瘤有長火約跡象，或引起手部功能的障礙時，開刀手術是必須的。一般而言，手掌內脂肪瘤通常引起疼痛不適與手部功能的障礙；另一常見的症狀，則與神經受到壓迫有關。而本例自從開刀出院，到現在已經8個月了。目前並無復發的跡象，並且沒有任何手部功能的障礙或感覺上的不適。
關鍵字
無資料並列摘要
Among all kinds of hand tumors, hand lipoma is comparatively rare. Only 5% of hand tumors belong to lipoma(superscript 1-3), and plamar lipoma is even more rarely seen. Alderge and Halpert indicated that the trace of lipoma could not be easily found in some of the spontaneous tumors at some parts of human body, especially at the part of palm^4. In spite of this, what has always been disturbing the clinical doctors during the diagnosing process is not the rarity of lipoma, but the confusion in identifying palmar lipoma or ganglion. Therefore, through appropriate imaging tools, such as CT or MRI, band lipoma can be well diagnosed before operation. Not all of the palmar lipoma tumors have to be taken away by opera tion. Nevertheless, when the tumor tends to be enlarged, or cause any weakness to the function of hand, operation becomes a must, Generally, palmar lipoma brings painful and uncomfortable feelings, and causes obstacles to the function of hand, The compression of nerve is also a commonly related symptom of palmar lipoma.