Giant intermuscular lipoma of the forearm

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Lipoma is the commonest soft tissue tumour, usually found subcutaneously. However, intermuscular and intramuscular lipomas are uncommon and they rarely occur in the distal extremities where they can be associated with restriction of movement or nerve compression syndromes. These lesions can prove a diagnostic challenge, and should be managed differently from subcutaneous lipomas as their proximity to neurovascular structures and distortion of anatomy pose a risk during excision. As well, intramuscular lipomas are prone to recur.

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