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Case 151: Palmar lump

This man is a keen gardener and 12 weeks ago whilst working in the garden thought that he got a splinter in his palm. This remained painful and gradually developed into a lump.

1. What has occurred?

A foreign body granuloma

2. What structures are at risk when operating to remove this?

Mainly the nerves. The palmar digital nerves become more superficial and they are branching at this point to the respective digits.

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