RESUMO
Lipomas are well-defined tumors of the adipose tissue that often occur in the torso or the extremities of adult patients. These tumors usually develop painlessly and insidiously, but theymay compress adjacent structures. The objective of the present study is to describe the case of a 68-year-old female patient with a giant lipoma located at the hypothenar region, with manifestation of compression of the common palmar digital nerves, the ulnar nerve, andthe abductormuscle of theVfinger. Regarding the symptoms, the patient feltmoderate pain in the hypothenar region, with no Tinel sign, and no changes in the motor function or sensibility of the digits innervated by the ulnar nerve. Lipomasmay present a varied range of histological characteristics, and malignant tumors may be a differential diagnosis. An imaging exammay aid in the diagnosis, which is confirmed by a histopathological study. For the present case, as recommended in the literature, a surgical procedure was performed for the resection of the tumor, which resulted in the control of the symptoms.
Assuntos
Humanos , Feminino , Idoso , Nervo Ulnar/lesões , Síndromes de Compressão do Nervo Ulnar/terapia , Lipoma/cirurgia , Lipoma/fisiopatologia , Diagnóstico Diferencial , Lipoma/diagnóstico por imagemRESUMO
El síndrome de compresión a nivel del Canal de Guyon está siendo cada vez reconocido con más frecuencia que en el pasado. Los casos que presentamos son ilustrativos de este síndrome, se analiza la anatomía y la fisiopatología de la región, además, se hacen consideraciones diagnósticas relevantes del síndrome de Compresión del nervio cubital a nivel del Canal de Guyon. Se hace énfasis en que se haga un diagnóstico acertado y lo más rápido posible.