Figure 7.

(A) Intraoperative aspects of a giant deep mid-palmar lipoma extended to thenar and hipothenar eminences—the thenar segment of lipoma was first approached and a tumor was located under the teguments, wrapped in a thin, well-vascularized fibrous capsule. During dissection, the tumor was found to be located under the palmar vascular arch and under common digital nerves, which were elongated; the incision was extended and the smaller portion of the tumor, located at the cubital hemihand, was approached, dissecting the tumor of tendinous adhesions. The 5th deep flexor tendon was found torn. Finally, the tumor was passed under the palmar vascular arch and extracted with the thenar segment through the first incision. (B) Removed specimen.