PDF(Pubmed)
Abstract：
Lipofibromatous hamartoma (LFH) is a rare benign peripheral nerve tumor. The median nerve (MN) is most commonly affected in the upper extremity. We report a case of a 39-year-old male with LFH of the median nerve presented with swelling and symptoms of carpal tunnel syndrome treated successfully with decompression. LFH is reported with various descriptions because of the proliferative nature of its adipocytes and the fibrofatty infiltration within the peripheral nerves. Swelling around the volar aspect of the wrist remains the most frequent presentation of LFH. Surgical decompression without tumor resection can result in symptom improvement. In addition, post-decompression nerve coverage can be a solution to improve the residual hyperesthesia symptoms.
摘要：
纤维瘤性错构瘤（LFH）是一种罕见的良性外周神经肿瘤。正中神经（MN）最常见于上肢。我们报告了一例39岁男性，正中神经LFH表现为肿胀和腕管综合征症状，经减压成功治疗。由于其脂肪细胞的增殖性质和周围神经内的纤维脂肪浸润，LFH被报道有各种描述。手腕掌部周围的肿胀仍然是LFH的最常见表现。手术减压而不切除肿瘤可改善症状。此外,减压后神经覆盖可以改善残余的感觉过敏症状。
