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Spindle cell lipoma of the hand

  • Varatharaj MounasamyEmail author
  • Mihir Thacker
  • Alejandro N. Bugnone
  • Scott P. Humble
  • J. David Pitcher
  • H. Thomas Temple
Case Report

Abstract

We report a case of spindle cell lipoma of the hand on a 34-year-old woman. The tumor presented as a slowly growing asymptomatic mass, soft on palpation. MRI demonstrated areas of fatty signal interspersed with nodular and linear areas of non-fatty tissue that showed high signal on fluid-sensitive sequences and contrast enhancement. The histologic diagnosis of spindle cell lipoma was made on needle biopsy and confirmed after excision. The patient has been asymptomatic with no recurrence.

Keywords

Spindle cell lipoma MRI Benign fatty tumors Hand 

Lipome à cellules fusiformes de la main

Résumé

Nous rapportons un cas de lipome à cellules fusiformes de la main chez une patient de 34 ans. La tumeur se présentait sous la forme d’une masse asymptomatique à croissance lente, molle à la palpation. L’IRM retrouvait des zones de signal graisseux entrecoupés de zones linéaires et nodulaires de tissu non graisseux qui montrait une réponse élevée à la séquence liquidienne et à l’amélioration des contrastes. Le diagnostic histologique de lipome à cellule fusiforme était fait après biopsie à l’aiguille, et confirmé après excision. Le patient est resté asymptomatique et il n’y a pas eu de récidive.

Mots clés

Lipome Tumeur bénigne des parties molles Main IRM 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Varatharaj Mounasamy
    • 2
    • 4
    Email author
  • Mihir Thacker
    • 2
  • Alejandro N. Bugnone
    • 1
  • Scott P. Humble
    • 3
  • J. David Pitcher
    • 2
  • H. Thomas Temple
    • 2
  1. 1.Department of Radiology, School of MedicineUniversity of MiamiMiamiUSA
  2. 2.Department of Orthopedics, School of MedicineUniversity of MiamiMiamiUSA
  3. 3.Department of Pathology, School of MedicineUniversity of MiamiMiamiUSA
  4. 4.CharlottesvilleUSA

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