52 year old Male with a swelling over his left hand since 3years,gradually increasing in size and difficulty in doing work with left hand O/e:12x6cm Multi lobulated soft,mobile,non tender swelling over the left palmar region Diagnosis and management?

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Considering multilobilated ,soft , mobile , non tender swelling or appears to be Lipoma. but it is an uncommon site for a Lipoma. A F.NAC to confirm the diagnosis. D/D - Neurofibroma Ganglion cyst. Surgical excision followed by HPE is indicated
Needs investigations like Xray , Ultrasound of hand, MRI. Apart from usual DD of Lipoma, Neurofibroma, Consider chronic tenosinovitis of finger tendons probably of TB origin .like Compound Palmar Ganglion .
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Thank you doctor
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IT'S A CASE OF .. PALMER SWELLING.. D/D.. * LIPOMA.. *DERMOID CYST.. * LIOPOFIBROMA.. * NEUROFIBROMA.. *ABSCESS.. BETTER TO DO.. FNAC.. BIOPSY.. USG STUDY..
Tnx
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? palmar fibromatosis DUPUYTREN'S DISEASE ? lipoma ? Ganglionic cyst ? DERMOID cyst Can't say confirm without INVESTIGATIONS Excision biopsy needed
Lt Palmer flexor shaeth fibromyalgia, benign growth mainly lobulated, mobile, non-tender growth FNAC Surgical excision Excision biopsy is required
Fibroma, typing mistake
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POSSIBLY.. 1. LIPOMA 2. NEURO FIBROMA 3. TB. LESION 4. TENDONS. PATHOLOGY 5. ABSCESS NEEDS. FURTHER. INVESTIGATION
These dwellings are dermoid cysts probabely implantation dermoid advised excesion and biopsy
lipomas or implsntation dermoids excision and send for bioosy rule out aspergillomas also??
Lipoma Excision BIOPSY and dressings with Megaheal ointment Antibiotic and NASID
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