Abstract
Objective To investigate the diagnosis and treatment of lipofibromas of the peripheral nerve.Methods From January 2005 to July 2010,5 cases of peripheral nerve lipofibroma were treated.There were 3 cases of median nerve neoplasia alone,2 cases of combined median and ulnar nerve neoplasia,and 1 case of combined macrodactyly.Neurolysis,tumor segment resection,intrafascicular neoplastic tissue resection were done under surgical microscope. Results Postoperative follow-up duration ranged from 7 to 24 months.Sensory loss was noted in 1 patient who had tumor segment resection.In 2 cases treated with neurolysis finger numbness disappeared after the surgery.No obvious sensory loss was observed in 2 cases treated with intrafascicular neoplastic tissue resection. Conclusion CT,MRI,surgical observation and postoperative pathologic examination can confirm the diagnosis of peripheral nerve lipofibroma.Among the limited treatment options,intrafascicular neoplastic tissue resection is a procedure that maximizes the preservation of neurological function while removing as much neoplastic tissue as possible. Key words: Peripheral nerves; Neoplasms; Diagnosis; Surgical procedures,operative
Published Version
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