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What is Lipoma?
Lipomas are adipose tumors that are often located in the subcutaneous tissues of the head, neck, shoulders, and back. Lipomas have been identified in all age groups but usually first appear between 40 and 60 years of age. These slow-growing, nearly always benign, tumors usually present as nonpainful, round, mobile masses with a characteristic soft, doughy feel. Most lipomas are best left alone, but rapidly growing or painful lipomas can be treated with a variety of procedures ranging from steroid injections to excision of the tumor. Lipomas must be distinguished from liposarcoma, which can have a similar appearance.
Lipomas can occur anywhere in the body. They are typically:
Situated just under the skin. They commonly occur in the neck, shoulders, back, abdomen, arms and thighs.
Soft and doughy to the touch. They also move easily with slight finger pressure.
Generally small. Lipomas are typically less than 2 inches (5 centimeters) in diameter, but they can grow.
Sometimes painful. Lipomas can be painful if they grow and press on nearby nerves or if they contain many blood vessels.
A lipoma is rarely a serious medical condition. But if you notice a lump or swelling anywhere on your body, have it checked by your doctor.
The cause of lipomas isn't fully understood. Usually, genetic factors likely play a role in their development.
Generally, risk of developing a lipoma, including:
Being between 40 and 60 years old. Although lipomas can occur at any age, they're most common in this age group.
Genetics. Lipomas tend to run in families.
To diagnose a lipoma, below procedure can be done:
A physical exam
A tissue sample removal (biopsy) for lab examination
An X-ray or other imaging test, such as an MRI or CT scan, if the lipoma is large, has unusual features or appears to be deeper than the fatty
There's a very small chance that a lump resembling a lipoma may actually be a form of cancer called liposarcoma. Liposarcomas — cancerous tumors in fatty tissues — grow rapidly, don't move under the skin and are usually painful. A biopsy or an MRI or CT scan is typically done if your doctor suspects liposarcoma.
No treatment is usually necessary for a lipoma. However, if the lipoma bothers you, is painful or is growing, your doctor might recommend that it be removed. Lipoma treatments include:
Surgical removal. Most lipomas are removed surgically by cutting them out. Recurrences after removal are uncommon. Possible side effects are scarring and bruising. A technique known as minimal excision extraction may result in less scarring.
Liposuction. This treatment uses a needle and a large syringe to remove the fatty lump.
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Small lipomas can be removed by enucleation. A 3-mm to 4-mm incision is made over the lipoma. A curette is placed inside the wound and used to free the lipoma from the surrounding tissue. Once freed, the tumor is enucleated through the incision using the curette.
The lipoma will most likely not grow back after surgery. During surgery, the area around the lipoma is numbed. If you have a deep lipoma, you may need medicine to numb a larger area (regional anesthesia). Or you may need medicine to put you to sleep during the procedure (general anesthesia).
Procedures to remove lipomas are usually done under local anesthesia and patients go home the same day. Resection of lipomas frequently requires incisions equal to the diameter of the tumor; side effects of surgery include residual hypoesthesia and chronic pain at the incision site.
Lipomas are composed of fat cells that have the same morphology as normal fat cells, and there is a connective tissue framework. Angiolipomas have a vascular component and may be tender in cold ambient temperature. These often require excision, whereas other lipomas should be excised only when considered disfiguring.
The causes of a lipoma are unknown. It is possible that they are caused by a physical trauma. However, it is unclear whether the trauma causes a lipoma to form, or if the lipoma is discovered simply as a result of medical attention to that area of the body.
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