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Case Reports
. 2024 Dec:125:110534.
doi: 10.1016/j.ijscr.2024.110534. Epub 2024 Oct 28.

Osteolipoma of the hand: A case report

Muhamad Naseh Sajadi Budi  1 , Anglita Yantisetiasti  2 , Ahmad Fitrah  3 , Hans Kristian Handoko  4 , Daniel Wirawan  1 , Imam Ramdhani Abdurrahman  1
Affiliations
Case Reports

Osteolipoma of the hand: A case report

Muhamad Naseh Sajadi Budi et al. Int J Surg Case Rep. 2024 Dec.

Abstract

Introduction: Osteolipoma is a rare variant of lipoma characterized by osseous metaplasia within adipose tissue. Its occurrence in the hand is exceptionally uncommon. This article aimed to report a case of osteolipoma in the hand.

Case presentation: A 46-year-old right-handed Asian woman presented to the orthopedic polyclinic complaining of a painless mass on the palm of her left hand for four years. Physical examination revealed a solid, mobile, non-tender mass with well-defined margins. Radiographic imaging showed a well-circumscribed soft tissue mass with fat and central calcification. The patient underwent surgical excision, and a histopathological examination confirmed the osteolipoma. A six-month follow-up revealed no recurrence, and the patient could resume her daily activities.

Discussion: This case highlights the importance of including osteolipoma in the differential diagnosis of hand masses, especially those with radiographic evidence of calcification. The rarity of this entity in the hand requires a high index of suspicion for accurate preoperative diagnosis.

Conclusion: While rare, osteolipoma of the hand should be considered in the differential diagnosis of soft tissue masses with osseous components. Complete surgical excision remains the treatment of choice, offering diagnostic confirmation and therapeutic intervention.

Keywords: Benign tumor; Case report; Hand tumor; Osteolipoma; Surgical excision.

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Conflict of interest statement

Declaration of competing interest The authors declare that there is no conflict of interest regarding the publication of this paper.

Figures

Fig. 1
Fig. 1
Osteolipoma of the hand.
Fig. 2
Fig. 2
Anteroposterior and lateral view of hand X-ray showing a soft tissue mass with internal calcifications.
Fig. 3
Fig. 3
Intraoperative image of surgical excision showing a 2.8 cm osteolipoma.
Fig. 4
Fig. 4
Histopathological examination showing mass composed of mature fat cells of various sizes. The edges appear covered with a connective tissue capsule and osteo-chondroid matrix.
Fig. 5
Fig. 5
Clinical image and x-ray one month following surgical excision of osteolipoma.
Fig. 6
Fig. 6
Clinical image six months following surgical excision of osteolipoma.
Fig. 7
Fig. 7
Timeline of the case.
See this image and copyright information in PMC

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