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TREATMENT OF LIPOMA

A lipoma is a small (2 to 3 mm in diameter), round or oval-shaped, slowly progressing lump found just between your skin and muscle layer in different parts of your body like the forehead, neck, arms, back, shoulder, buttocks, thighs, and legs. These are usually painless swellings with no obvious cause; however, they could be inherited (passed down through families). Lipomas are made up of fatty tissues that are soft or rubbery and are freely movable on slight finger pressure that generally does not spread to the surrounding areas. Though lipomas are classified as tumors, they are often benign

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TREATMENT OF LIPOMA

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  1. LIPOMA: WHAT IS IT, CAUSES, SYMPTOMS, TYPES AND TREATMENT

  2. WHAT IS LIPOMA ? A lipoma is a small (2 to 3 mm in diameter), round or oval-shaped, slowly progressing lump found just between your skin and muscle layer in different parts of your body like the forehead, neck, arms, back, shoulder, buttocks, thighs, and legs. These are usually painless swellings with no obvious cause; however, they could be inherited (passed down through families). Lipomas are made up of fatty tissues that are soft or rubbery and are freely movable on slight finger pressure that generally does not spread to the surrounding areas. Though lipomas are classified as tumors, they are often benign (noncancerous). Lipomas are harmless conditions that do not require treatment except in certain situations when they cause severe pain and are unattractive in appearance. Read on to learn more about these fatty lumps.

  3. WHAT ARE THE CAUSES OF LIPOMA? The exact cause of lipomas is unknown; however, genetics plays an important role in their development. It is believed to run in families and is passed down through generations; you are likely to develop a lipoma if someone in your family has one. Lipomas also occur in areas where an accident or injury has caused a significant impact. Sometimes, certain medical conditions predispose to the development of a lipoma, such as: Gardner syndrome- It is a rare condition characterized by soft-tissue tumors, non-cancerous tumors of bone tissues (osteomas), and colonic nodules. Dercum's disease/Adiposis Dolorosa- It is a disorder characterized by multiple, painful growths of lipoma, most often on the trunk, arms, and legs. Madelung's disease/ Multiple Symmetric Lipomatosis- This disorder results in the abnormal accumulation of fat tissues around the neck, shoulders, hips, and thighs. Hereditary multiple Lipomatosis/ Familial Multiple Lipomatosis- It is an inherited disorder with the slow growth of fatty nodules spread across the trunk and thighs. Cowden syndrome- It is a genetic disorder characterized by multiple, non-cancerous, tumor-like growths. Subcutaneous lipoma is often seen in association with Cowden syndrome.

  4. TYPES OF LIPOMA? CONVENTIONAL LIPOMAS- THESE ARE THE MOST COMMON TYPE OF LIPOMAS THAT CONTAIN FAT CELLS RESPONSIBLE FOR STORING ENERGY. • ANGIOLIPOMA- ANGIOLIPOMA CONTAINS MANY BLOOD VESSELS ALONG WITH FAT CELLS, WHICH ARE EXTREMELY PAINFUL. • FIBROLIPOMA- THIS TYPE OF LIPOMA CONTAINS BOTH FAT CELLS AND FIBROUS TISSUES THAT FEEL HARD ON THE TOUCH. • HIBERNOMA- CONTAINS BROWN FAT CELLS INSTEAD OF MATURED WHITE FAT CELLS. • MYELOLIPOMA- THESE LIPOMAS CONTAIN FAT AND TISSUES THAT PRODUCE BLOOD CELLS AND RESEMBLE BONE MARROW. • SPINDLE CELL- THESE TYPES OF LIPOMAS CONTAIN FAT CELLS THAT ARE LONGER THAN WIDE. • PLEOMORPHIC- THESE HAVE FAT CELLS OF VARYING SHAPES AND SIZES. • ATYPICAL LIPOMA- THESE LIPOMAS HAVE DEEPER FAT TISSUES WITH LARGE NUMBERS OF CELLS.

  5. HOW IS A LIPOMA DIAGNOSED? LIPOMAS ARE SLOW-GROWING, BENIGN (NONCANCEROUS) LUMPS THAT ARE PAINLESS AND HARMLESS AND GENERALLY DO NOT REQUIRE ANY TREATMENT. HOWEVER, PERIODIC MONITORING OF THE LIPOMA IS IMPORTANT TO KEEP A CHECK ON ITS SIZE AND OTHER SYMPTOMS THAT COULD INDICATE MALIGNANCY. LIPOMA REMOVAL IS NECESSARY IF: THE LIPOMA IS UNAESTHETIC IN APPEARANCE. • YOU HAVE EXTREME PAIN AND DISCOMFORT WHEN THE LIPOMA IS DEEP- SEATED AND IMPINGES (PRESSES) AGAINST THE NERVE OR BLOOD VESSEL RUNNING THROUGH IT. • YOU HAVE MULTIPLE LIPOMAS (LIPOMATOSIS) THAT CAUSE DISTRESS AND AFFECT YOUR ROUTINE ACTIVITIES. • THE LIPOMA SPREADS TO INTERNAL ORGANS, CAUSING COMPLICATIONS, FOR EXAMPLE, WHEN IT SPREADS TO THE GASTROINTESTINAL (GI) TRACT, IT MAY LEAD TO CONSTIPATION, ABDOMINAL PAIN, ETC.

  6. TREATMENT FOR LIPOMA TREATMENT OPTIONS 1. SURGICAL REMOVAL MOST COMMON AND EFFECTIVE TREATMENT DONE UNDER LOCAL ANESTHESIA (OR GENERAL ANESTHESIA FOR LARGER/DEEPER LIPOMAS) THE ENTIRE LIPOMA IS REMOVED, WHICH REDUCES RECURRENCE RISK MINIMAL SCARRING IF SMALL AND DONE CAREFULLY 2. LIPOSUCTION FAT IS REMOVED THROUGH A NEEDLE OR CANNULA LESS SCARRING BUT HIGHER RECURRENCE RATE COMPARED TO SURGERY BEST FOR SOFTER, LESS FIBROUS LIPOMAS 3. STEROID INJECTIONS MAY SHRINK THE LIPOMA, BUT WON’T ELIMINATE IT COMPLETELY RARELY USED; MORE COMMON FOR PATIENTS AVOIDING SURGERY 4. OBSERVATION IF THE LIPOMA IS SMALL, PAINLESS, AND NOT GROWING, A "WATCH AND WAIT" APPROACH IS OFTEN USED REGULAR MONITORING IS ADVISED

  7. CONCLUSION Lipomas are benign, slow-growing fatty tumors that are usually harmless and painless. Most do not require treatment unless they cause discomfort, grow rapidly, or create cosmetic or functional concerns. When necessary, surgical removal is the most effective and commonly used treatment. Alternative options like liposuction or steroid injections may be considered in select cases, though they carry a higher chance of recurrence. Regular monitoring is important, especially for any changes in size, shape, or symptoms. Always consult a healthcare provider to confirm the diagnosis and determine the best course of action.

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