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The lesion caused distal numbness and an uncommon digit location, contributing to diagnostic delay. Clinical and imaging evaluation suggested a fat-containing mass wrapping the middle phalanx without bone involvement, with biopsy recommended. Surgical excision with repair of the extensor tendon achieved complete wound healing and no major functional impairment during follow-up.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/uncommon-presentation-of-a-lipoma-in-the-middle-phalanx-of-the-ring-finger-a-case-report/435553/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/uncommon-presentation-of-a-lipoma-in-the-middle-phalanx-of-the-ring-finger-a-case-report/435553.png","ImageObject",300,407,{"name":92,"@type":93},"jayni","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is the presented lipoma considered uncommon?","Question",{"text":112,"@type":113},"Because lipomas most often occur in the head, neck, and upper limbs, while this case involves the middle phalanx of the ring finger, a rare hand and digit location.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What symptoms and clinical findings were reported?",{"text":117,"@type":113},"The patient had a painless, rubbery, mobile, nontender mass with numbness distal to the lipoma, and no ulceration or skin changes were noted.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the diagnosis evaluated and treatment performed?",{"text":121,"@type":113},"The workup included hand x-ray and MRI, followed by biopsy recommendation. Management consisted of excisional biopsy under local anesthesia, with complete excision and extensor tendon repair when needed.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},435553,1790813798,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Case RepoRt   \nHand  \nUncommon Presentation of a Lipoma in the Middle Phalanx of the Ring Finger: A Case Report  \nRakan H. Alelyani, MBBS* Maha D. Hanawi, MBBS† Abdulrahman I. Alhadlaq, MBBS† Ovais Habib, MBBS, MD†  \nLoaiA. Alsalmi, MBBS, MD†  \nSummary: Lipomas are commonly identified as benign neoplasms in humans, primarily located in the head, neck, and upper limb areas. Their rare appearance in hands and digits makes such cases particularly intriguing to those in the field. We present a case of a middle-aged Saudi female patient who presented with a large lipoma at the middle phalanx of the right ring finger, with numbness distal to the lipoma, emphasizing the uncommon nature of this occurrence and the significance of surgical intervention. (Plast Reconstr Surg Glob Open 2026;14:e7313; doi: 10.1097/GOX.0000000000007313; Published online 5 January 2026.)  \nLipomas are the most common benign soft tissue  \ntumors, composed primarily of adipose tissue. They  \ncan develop in various anatomical locations, including the subcutaneous layer of the skin, muscle, and, less commonly, in deeper structures such as the bones or joints.1 Lipomas in the hand are uncommon, and when they appear, it can be difficult to distinguish them from other soft tissue lumps, such as ganglion cysts, fibromas, or more serious tumors.  \nThe middle phalanx of the ring finger is a unique location for the development of a lipoma. In this area, alipoma may present as a soft, mobile, and painless swelling, which can lead to functional impairment or aesthetic concerns for the patient.2 The subtlety of symptoms often results in a delayed diagnosis, with many patients unaware of the lesion until it becomes significantly enlarged or starts interfering with daily activities.  \nLipomas are recognized by looking at them under a microscope, where mature fat cells are seen growing in clusters, and this can be confirmed with imaging tests anda biopsy. The management of lipomas typically involves surgical excision, particularly when they cause discomfort or functional limitations, as they generally do not resolve spontaneously.3,4  \nWe present a case involving a middle-aged woman who had a lipoma located on the middle phalanx of the ring finger of her right hand, emphasizing the uncommon  \nFrom the *Department of Plastic Surgery and Burns, Ministry of National Guard, Health Affair, Riyadh, Saudi Arabia; and †Department of Plastic & Reconstructive Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.  \nReceived for publication April 21, 2025; accepted October 3, 2025. Copyright © 2026 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.  \nDOI: 10. 1097/GOX.0000000000007313  \nnature of this occurrence and the significance of surgical intervention.  \nCASE PRESENTATION  \nA 52-year-old woman was following up in our clinic for soft tissue swelling on the dorsum of the proximal phalanx of her right ring finger; she noticed this mass 5 years ago, when it initially increased in size, but it had since remained stable. The mass was painless, and the patient had no history of ulceration or skin changes. Examination revealed a rubbery and mobile nontender mass. We performed a hand x-ray, which revealed right ring finger soft tissue swelling over the middle phalanx (Fig. 1) . Magnetic resonance imaging showed a fat-containing lesion wrapping around the middle phalanx with no associated bone abnormality (Fig. 2); biopsy was recommended.  \nThe patient was booked for an excisional biopsy. Under local anesthesia (lidocaine 1%), the surgical site was marked by a curvilinear incision over the dorsal aspect o","cbCaiuSyFXej27Zh","https://ap.wps.com/l/cbCaiuSyFXej27Zh","pdf",779249,"English","# Summary\n# Background\n# Case Presentation\n## Clinical Assessment and Imaging\n## Surgical Management and Outcome\n# Discussion","[{\"question\":\"Why is the presented lipoma considered uncommon?\",\"answer\":\"Because lipomas most often occur in the head, neck, and upper limbs, while this case involves the middle phalanx of the ring finger, a rare hand and digit location.\"},{\"question\":\"What symptoms and clinical findings were reported?\",\"answer\":\"The patient had a painless, rubbery, mobile, nontender mass with numbness distal to the lipoma, and no ulceration or skin changes were noted.\"},{\"question\":\"How was the diagnosis evaluated and treatment performed?\",\"answer\":\"The workup included hand x-ray and MRI, followed by biopsy recommendation. Management consisted of excisional biopsy under local anesthesia, with complete excision and extensor tendon repair when needed.\"}]","Uncommon Presentation of a Lipoma in the Middle Phalanx of the Ring Finger - A Case Report | PDF",1790674119]