Spindle cell lipoma, dorsum of hand in a 4 year old child: A rare entity

Giant Spindle Cell Lipoma of Middle Finger: Case Report and Review of Literature

We present a case of a giant Spindle cell lipoma of dimensions 11 cm × 7 cm, involving the middle finger of a 62-year-old female, without distal neurovascular deficits. Spindle cell lipoma is a rare subtype that accounts for 1.5% of all lipomatous tumors. They show a heterogeneous mixture of lipomatous tissue with mature adipocytes interspersed with spindle-shaped cells, without atypia in a sclerotic collagenous stroma. Immunohistochemical (IHC) marker CD34 was positive but negative for S100. The entire tumor was removed with recovery of full range of movements. The case is reported due to the unusual location of a rare variant of giant lipoma involving a finger.