PMC4954940_01
Preoperative photograph of the giant palmar lipoma (note the extent of the lesion).
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PMC4954940_01_gr1.jpg
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On clinical examination, the swelling started from the wrist crease and involved both the thenar and the hypothenar region, extending up to the distal palmar crease (Fig.1).
Intraoperative photograph showing the extension of lipoma in the thenar region and first web space.
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PMC4954940_01_gr2.jpg
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During dissection, all the neurovascular structures were identified and preserved (Fig. 2, Fig. 3).