DOI: https://doi.org/10.36347/sjmcr.2025.v13i11.001

Pages: 2663-2667

We report the case of a 58-year-old, right-handed male patient with no significant medical history, who consulted for a progressive, painless swelling of the right hand, evolving for over ten years. The mass had significantly increased in volume over the past two years, leading to significant functional discomfort, difficulty with grasping, and aesthetic prejudice. Clinical examination revealed a soft, lobulated mass, measuring approximately 10 x 8 x 5 cm, covered by healthy skin and immobile relative to deep and superficial planes. Grip strength was diminished. Ultrasound and MRI confirmed the presence of a well-circumscribed lesion, characteristic of a lipoma. The patient underwent complete surgical excision under regional anesthesia. The post-operative course was uneventful, with restoration of hand function and no recurrence after one year of follow-up. Histopathological analysis confirmed the diagnosis of a benign lipoma. This case highlights the importance of precise pre-operative imaging and meticulous surgical dissection for the successful management of giant lipomas of the hand.