Lipofibromatous Hamartoma of the Median Nerve in a Child.

IF 1.6 4区 医学 Q3 SURGERY
Annals of Plastic Surgery Pub Date : 2025-09-01 Epub Date: 2025-04-25 DOI:10.1097/SAP.0000000000004375
Mohd Mir Altaf, Jaya Jain, Manjit Kaur Rana, Arvinder Wander, Taruna Singh, Rahul Kaushik
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引用次数: 0

Abstract

Abstract: Lipofibromatous hamartoma (LFH) is characterized by the infiltration of mature adipose tissue and fibrous elements along the course of the median nerve, leading to gradual compression and distortion of the nerve fibers. In our case, the median nerve was involved in an LFH tumor in an 8-year-old male child. After a comprehensive clinical evaluation, radiological findings, and histopathological examination, the patient underwent resection of LFH with dissection and resection of the median nerve and its digital branches, followed by sural nerve cable grafting. The patient had a full functional recovery of hand in 8 months. Till now, only 3 cases of LFH have been reported in children below 10 years of age.Both the surgical team and the patient were satisfied with the postoperative outcome.

儿童正中神经脂肪纤维瘤错构瘤。
摘要:脂肪纤维瘤错构瘤(Lipofibromatous hamartoma, LFH)的特点是成熟脂肪组织和纤维成分沿正中神经浸润,导致神经纤维逐渐受压和扭曲。在我们的病例中,正中神经累及了一名8岁男孩的LFH肿瘤。经综合临床评估、影像学表现及组织病理学检查,患者行下下颌骨切除,切除正中神经及其指支,并行腓肠神经索移植。8个月后患者手部功能完全恢复。到目前为止,仅报告了3例10岁以下儿童的LFH病例。手术小组和患者对术后结果都很满意。
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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
期刊介绍: The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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