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Overview

A lipoma is a benign growth of fatty tissue that develops slowly under the skin. Lipomas can appear on any part of the body but are commonly found on the face, neck, chest, thighs, abdomen, back, and arms. They are not cancerous and are rarely harmful. Lipomas are more common in adults than children.

Description

Lipomas are classified based on their composition:
  • Angiolipoma: Contains fat and blood vessels, often painful.
  • Diet: Contains white fat cells that store energy.
  • Fibrolipoma: Made up of fat and fibrous tissue.
  • Hibernoma:Contains brown fat, which generates heat and helps regulate body temperature.
  • Myelolipoma: Contains fat and tissues that produce blood cells.
  • Spindle cell: Contains fat cells that are longer than they are wide.
  • Pleomorphic: Contains fat cells of various sizes and shapes.

Consultation

During the consultation, the doctor will assess the lipoma through a physical exam and may order a tissue sample removal (biopsy) for lab examination. Imaging tests such as X-rays, MRI, or CT scans might be needed if the lipoma is large, has unusual features, or appears to be deeper than the fatty tissue. This helps rule out the possibility of liposarcoma, a cancerous tumor in fatty tissues.

Procedure

  • Preparation: The area around the lipoma is marked and cleaned.
  • Anesthesia: Local anesthesia is administered to numb the area.
  • Incision: A small incision is made over the lipoma.
  • Removal:The lipoma is carefully dissected and removed.
  • Closure: The incision is closed with stitches or surgical adhesive.
  • Post-Procedure Care: A bandage is applied to protect the incision site.

After Surgery

    Patients are typically able to go home the same day. Postoperative care instructions include:
  • Keeping the incision site clean and dry.
  • Changing the bandage as directed.
  • Avoid strenuous activities until the incision heals.
  • Taking prescribed pain medications if needed.

Results

    The final results of lipoma removal surgery are generally positive, with minimal scarring and relief from any discomfort caused by the lipoma. Regular follow-up appointments may be scheduled to monitor the healing process and ensure no recurrence.

Complications

    Possible complications of lipoma removal surgery include infection, bleeding, scarring, and pain. If the lipoma is pressing on nerves, removal might lead to temporary numbness or discomfort. There is a very small chance that the lipoma could be a liposarcoma, necessitating further treatment.

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