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It depends a lot on what exactly is going on.
It may be something going on with the tendon, what you describe sounds more like a trigger finger than palmar fibroma, but I am no hand guy. I am told that a steroid injection in the palm of your hand is more than somewhat uncomfortable.
For the stuff I deal with , you dissect out the affected area, or strip the entire fascia out. Risk of recurrence is fairly high at the edge of the area removed.
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