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Peer-reviewedCC BY-NCActa Orthopaedica et Traumatologica Turcica

Lipomatous tumors of the hand and wrist

  • Ahmet Berkay Girgin1
  • Ahmet Acar1
  • Ömer Torun1
  • Esin Kurtuluş Öztürk1
  • Gözde Elif Taşar Kapakli2
  • Hüseyin Bilgehan Çevik1
  1. 1Department of Orthopedics and Traumatology, Etlik City Hospital, University of Health Sciences, Ankara, Türkiye
  2. 2Department of Pathology, Etlik City Hospital, University of Health Sciences, Ankara, Türkiye
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Abstract

Objective: This study aimed to present the experience of a tertiary referral center in terms of the epidemiology, histopathology, and clinical presentation of lipomatous tumors of the hand and wrist.

Methods: Patients, ≥ 18 years of age, who underwent surgery for tumors and had a histopathological diagnosis of lipomatous tumor in the hand and wrist between 2017 and 2024 were evaluated. Patients’ demographics, medical history, clinical presentation, imaging studies, surgical notes, histopathological findings, postoperative outcomes, and follow-up information were reported.

Results: In total, 36 patients with a mean age of 49.5 years (range, 27-73) were included in the study. Preoperative magnetic resonance imaging was available for 10 patients (27.8%). All lesions were benign. The most common diagnosis was conventional lipoma (n = 33, 91.7%). Neurological symptoms due to nerve compression were observed in 4 patients (11.1%). No preoperative biopsy was performed. All patients underwent marginal excision, and histopathological diagnosis was made postoperatively. The mean follow-up duration was 53.8 months (range, 24-97), with no recurrences reported.

Conclusion: Lipomatous tumors of the hand and wrist are more prevalent than previously believed. Although most are asymptomatic and benign, a significant number can cause compressive neuropathies. While routine imaging and excisional biopsy are often sufficient for diagnosis and treatment, atypical lesions should not be overlooked.

Cite this article as: Girgin AB, Acar A, Torun Ö, Öztürk EK, Kapakli GET, Çevik HB. Lipomatous tumors of the hand and wrist. Acta Orthop Traumatol Turc., 2026; 60(5), 0769, doi: 10.5152/j.aott.2026.25769.

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Cite

BibTeXRIS
BibTeX
@article{girgin2026lipomatous,
  title = {{Lipomatous tumors of the hand and wrist}},
  author = {Ahmet Berkay Girgin and Ahmet Acar and Ömer Torun and Esin Kurtuluş Öztürk and Gözde Elif Taşar Kapakli and Hüseyin Bilgehan Çevik},
  journal = {Acta Orthopaedica et Traumatologica Turcica},
  year = {2026},
  month = oct,
  doi = {10.5152/j.aott.2026.25769},
  url = {https://doi.org/10.5152/j.aott.2026.25769},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Lipomatous tumors of the hand and wrist
AU  - Ahmet Berkay Girgin
AU  - Ahmet Acar
AU  - Ömer Torun
AU  - Esin Kurtuluş Öztürk
AU  - Gözde Elif Taşar Kapakli
AU  - Hüseyin Bilgehan Çevik
PY  - 2026
DA  - 2026/10/23
JO  - Acta Orthopaedica et Traumatologica Turcica
DO  - 10.5152/j.aott.2026.25769
UR  - https://doi.org/10.5152/j.aott.2026.25769
AB  - Objective: This study aimed to present the experience of a tertiary referral center in terms of the epidemiology, histopathology, and clinical presentation of lipomatous tumors of the hand and wrist.  Methods: Patients, ≥ 18 years of age, who underwent surgery for tumors and had a histopathological diagnosis of lipomatous tumor in the hand and wrist between 2017 and 2024 were evaluated. Patients’ demographics, medical history, clinical presentation, imaging studies, surgical notes, histopathological findings, postoperative outcomes, and follow-up information were reported.  Results: In total, 36 patients with a mean age of 49.5 years (range, 27-73) were included in the study. Preoperative magnetic resonance imaging was available for 10 patients (27.8%). All lesions were benign. The most common diagnosis was conventional lipoma (n = 33, 91.7%). Neurological symptoms due to nerve compression were observed in 4 patients (11.1%). No preoperative biopsy was performed. All patients underwent marginal excision, and histopathological diagnosis was made postoperatively. The mean follow-up duration was 53.8 months (range, 24-97), with no recurrences reported.  Conclusion: Lipomatous tumors of the hand and wrist are more prevalent than previously believed. Although most are asymptomatic and benign, a significant number can cause compressive neuropathies. While routine imaging and excisional biopsy are often sufficient for diagnosis and treatment, atypical lesions should not be overlooked.  Cite this article as: Girgin AB, Acar A, Torun Ö, Öztürk EK, Kapakli GET, Çevik HB. Lipomatous tumors of the hand and wrist. Acta Orthop Traumatol Turc., 2026; 60(5), 0769, doi: 10.5152/j.aott.2026.25769.
SN  - 1017-995X
SN  - 2589-1294
ER  -