Lipomas arise as soft tissue tumors almost, every where in the body and follow the distribution of the fat Those presenting in the hand are uncommon slowly growing masses within the hand spaces..
To highlight the various presentations of large sized lipomas growing in the palm with different clinical pictures.
PATIENTS AND METHODS:
Five patients with hand lipomas , ages (7-45) years,pesented with palmar swellings , three were diagnosed clinically and two were diagnosed with magnetic resonance. The lipomas were surgically excised under general anesthesia.
Compressive neuropathy was elicited in three patients, one patient had mild motor weakness due to muscle stretching. All patients had marginal excisions, histopathology proved to b lipomas. The paresthesia in three patients improved postoperatively ,all patients had full recovery of hand function during the follow up period of one year .
The palm has limited spaces ,yet lipomas can grow for some time with minimal ill effect, surgical excision is the only remedy.