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Sanamed
2016, vol. 11, br. 2, str. 141-144
jezik rada: engleski
vrsta rada: prikaz slučaja
objavljeno: 28/07/2016
doi: 10.5937/sanamed1602141R
Gigantski lipom šake - prikaz slučaja retke lokalizacije čestog tumora
aKlinički centar Kragujevac, Centar za plastičnu hirurgiju + Univerzitet u Kragujevcu, Medicinski fakultet
bUniverzitet u Kragujevcu, Medicinski fakultet

e-adresa: dejanavu@eunet.rs

Sažetak

Uvod: Lipom je dobroćudni tumor masnog tkiva i najčešći tumor potkožnog tkiva koji se najčešće javlja na trupu. Prezentuje se kao okrugao ili ovalni potkožni čvor, mekše konzistencije, koji nije fiksiran za kožu, a najčešće ni za dublja tkiva. Svojim rastom može da uzrokuje kompresivne simptome, od kojih su najčešći bol i parestezija. Prikaz slučaja: Obzirom da se lipomi veoma retko javljaju na šaci i stopalu, u ovom radu prikazujemo veliki lipom šake kod pacijentkinje stare 70 god. sa potkožnim izraštajem u predelu ulnarne strane levog dlana i bolom i trnjenjem u četvrtom i petom prstu. U opštoj endotrahealnoj anesteziji je urađena longitudinalna incizija na medijalnoj strani dlana i poprečna incizija do proksimalne dlanske brazde. Ekstirpiran tumor je zbog svojih dimenzija (5,6 x 3,4 x 2,5 cm) kategorisan kao gigantski lipom šake. U postoperativnom toku nije bilo komplikacija, a rana je zarasla per primam. Histopatološkom analizom je potvrđena dijagnoza lipoma. Zaključak: Lečenje lipoma šake je isključivo operativno i podrazumeva učešće hirurga koji je edukovan za hirurgiju šake, što je od važnosti zbog velikog funkcionalnog i estetskog značaja šake.

Ključne reči

lipom; tumori šake; lipom šake

Reference

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