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Lipoma

A lipoma is a common, benign tumor composed of fatty tissue. These slow-growing, benign fatty tumors form lobulated soft masses enclosed by a thin fibrous capsule. Although it has been hypothesized that lipomas may rarely undergo sarcomatous change, this event has never been convincingly documented. Lipomas are found most often on the torso, neck, upper thighs, upper arms, and armpits, but can occur almost anywhere in the body. It's doughy to touch and usually not tender. You could have several that persist for years. Lipomas can occur at any age, but they're most often detected in middle age. Types of lipomas include the superficial subcutaneous lipoma, the intramuscular lipoma, the spindle cell lipoma, the angiolipoma, the benign lipoblastoma, and the lipomas of tendon sheaths, nerves, synovium, periosteum, and the lumbosacral area. They vary in size from pea size to several centimeters in diameter. The most common sites where lipomas develop are on the shoulders, the chest and the back, but other areas of the skin can develop a lipoma A lipoma isn't cancer and is usually harmless. Treatment generally isn't necessary, but if the lipoma is in a bothersome location, is painful or is growing, it should be removed.

Lipoma is a common soft-tissue tumor found under the skin but also can appear in deeper tissues and even in various body organs, such as the heart, brain, and lung . Additional information about other locations (eg, intramuscular, retroperitoneal, gastrointestinal) will be included as appropriate. They grow very slowly, and have not been found to become cancerous (it should be noted however that malignant liposarcoma also arises from fatty tissue). Angiolipoma is a common variant which has a proliferation of small vessels scattered throughout the fat. Unlike common lipomas, these tumors are usually painful. With so many lipomas, you and your doctor will have to be somewhat selective, keeping in mind that new ones may continue to crop up from time to time.  They are a type of soft tissue sarcoma . But these do not  start from having a lipoma. There is no scientific evidence to suggest that a lipoma will increase the risk of developing cancer or, more specifically, of developing soft tissue sarcomas.

Causes of Lipoma

The comman Causes of Lipoma :

  • It is possible there may be genetic involvement as many patients with lipomas come from a family with a history of these tumours.
  • Surgery involving the urethra
  • The cause of lipomas is not completely understood, but the tendency to develop them is inherited
  • Lipomas also tend to run in families, so genetic factors likely play a role in their development
  • Side effect of certain medications, including some psychiatric drugs and medications used to treat high blood pressure and prostate enlargement

Symptoms of Lipoma

Some comman Symptoms of Lipoma :

  • Remain the same size over years or grow very slowly.
  • Are movable and have a soft, rubbery consistency.
  • Symptoms of lipoma include soft, moveable lumps under the skin that are sometimes painful to the touch.
  • Lump under the skin
  • Soft painless lump.
  • It feels soft and smooth and is easily moved under the skin with the fingers.
  • They are most common on the shoulders, neck, trunk and arms, but they can occur anywhere on the body where fat tissue is present.

Treatment of Lipoma

  • Medical therapy includes endoscopic excision of tumors in the upper gastrointestinal tract (ie, esophagus, stomach, duodenum) or the colon.
  • Larger lipomas are best removed by surgically cutting them out. Recurrences after removal are uncommon.
  • This treatment shrinks the lipoma but usually doesn't completely eliminate the tumor. Steroid injections are typically used with smaller tumors those less than 2.5 centimeters in diameter .
  • Treatment for lipomas may not be required, however in most cases they can be surgically removed if they are very large, painful, or cosmetically unattractive.
  • This treatment uses a needle and a large syringe to remove the fatty tumor. Liposuction is usually done when the lipoma is in a location where you want to avoid a large scar. It's difficult to remove the entire tumor with this technique.


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