A useful technique to maintain the position of the hand following abdominal flap cover

was made.One year after the surgery, both the local and the general condition of the patient were good and there were no signs of recurrence [Figure 3].Incidentally another interesting clinical finding was also noted; the clinical cardiac symptoms also improved after the surgery.Neural fibrolipoma is a benign tumor comprised of hypertrophied, fibrofatty tissue with intermixed nerve tissue and fibrolipomatous hamartoma of the nerve usually seen in infants and children.[8] Although these lesions are often asymptomatic, they may cause discomfort when they become large.As far as our literature review goes, there are no similar reports for fibrolipomas such as the one presented here.The main feature of this fibrolipoma is its resemblance of abdominal lipodystrophy.A subcutaneous fibrolipoma has been described by Kajihara et al. in the back region.[9] For a lipoma to be referred to as "giant", the lesion should be at least 10 cm in diameter or weigh a minimum of 1000 g.These criteria were also met in this case, so the lesion may also be called a giant fibrolipoma.It is not clear as to what mechanisms, excluding trauma, trigger these giant fibrolipomas and the differences of these lesions from other types of lipomas are only based on histopathologic findings.[10] In the future, cellular and subcellular research will perhaps determine physiopathologic mechanisms underlying the progress of such lipoma-like lesions.