Introduction: Ossifying lipoma is an uncommon tumour and its occurrence in the hand is rare. It is often not diagnosed preoperatively.Clinical Picture: Our case presented with a lump in the hand which was painful with activity. The lipomatous component of the tumour was radiologically not distinguishable. Treatment: The hand was explored through a wide palmar incision, revealing a lipomatous tumour. The tumour was completely excised and diagnosis made after histological examination. Outcome: After 1 year, the patient has had normal function of the hand with no tumour recurrence. Discussion: The diagnosis of ossifying lipoma could be made with certainty only after radiological examination, excision and histological examination. The bony component is of mesenchymal origin and may come about as a result of metaplastic transformation.
Lipomata are one of the most common benign tumours in adults, occurring in almost any location of the human body, especially in the subcutaneous region. They are commonly found in the soft tissues of the neck, back and extremities.
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