Lipofibromatous Harmatoma of a Digital Nerve - 2 Cases Report -

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Journal of the Korean Society for Surgery of the Hand 2007;12(3):132-134.
Published online September 1, 2007.

Seok Hyun Kweon, Dong Chul Kim, Dae Moo Shim, Churl Hong Chun, Jeong Woo Kim, Chul Min Lim, Young Chun Na

수지신경에 발생된 지방섬유종성 과오종 - 2예 보고 -

권석현, 김동철, 심대무, 전철홍, 김정우, 임철민, 나영천

Abstract

Lipofibromatous harmatoma is a rare, benign neoplasm that usually involved the median nerve. Involvement of other nerves, such as the radial, ulnar and palmar nerves and the brachial plexus, is extremely rare. The tumor is limited to within the epineural sheaths, which is intact, shiny, orange-yellow, firm thick, and non-resilient to dissection. One case involved the volar ulnar digital nerve of the thumb, treated with a partial excision and the other case involved the volar radial digital nerve of the index finger, treated with a complete excision. Treatment of this benign neoplasm is controversial. The ideal plan is release the fascia overlying the tumor has commonly resulted in decrease in the size of the mass, alleviation of pain, improvement of the strength of opposition, and alleviation of irritating sensory symtoms.

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