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Giant lipomas of the upper extremity
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Original Article
VOLUME: 49 ISSUE: 3
P: 192-196
2016

Giant lipomas of the upper extremity

Acta Haematol Oncol Turc 2016;49(3):192-196
DOI: 10.5505/aot.2016.37450
Hasan Göçer
Nevzat Dabak
Alper Çıraklı
1. Department of Orthopedic and Traumatology, Ondokuz Mayıs University, Samsun
2. Orthopedic and Traumatology Clinic, Kayseri Research and Training Hospital, Kayseri
3.
No information available.
No information available
Received Date: 2016-02-27T20:53:18
Accepted Date: 2016-12-14T14:34:56
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Abstract

INTRODUCTION

Lipomas are the most frequently seen soft tissue tumors and are seen particularly in the shoulder, back and lower extremity. Although rarely seen, lipomas of >5 cm are known as giant lipomas. In this paper, cases treated surgically due to giant lipoma located in the upper extremity, which can lead to problems in diagnosis and treatment, are presented in the light of current literature.

METHODS

The study included 17 cases that underwent surgical total excision for giant lipoma located in the upper extremity and underwent final follow-up examination between March 2009 and December 2014. Patients were evaluated in point of age, gender, localization, surgical approach, histopathological characteristics and recurrence. Data were evaluated to confirm normal distribution using the Shapiro-Wilk test.

RESULTS

The patients were 7 females and 10 males with a mean age of 44 years (ranging from 8 to 81 years). The lesions were in the hand in 4 cases, in the arm in 3 cases and the shoulder region in 6 cases, with right/left location in 12/5 cases. The mean follow-up period was 42 months (ranging from 9 to 84 months). In one case, recurrence was seen at 22nd month and surgical re-excision of the mass was applied.

DISCUSSION AND CONCLUSION

The definitive treatment for lipomas is surgical total excision. To achieve this, particularly in lipomas located in the upper extremity, a sufficient wide incision must be used to reach all the nerves and protect the neurovascular structures.