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Let us clarify what is a "lipoma"?

Lipoma refers to a benign tumor formed by the proliferation of fat cells in the body. Clinically, there is only a 1% chance of being malignant.

Some people will intuitionally misunderstand the word "fat" because they see the word "fat" and think that it has something to do with body shape, but whether there will be lipomas or not has nothing to do with age, gender, fatness, diet, or lifestyle, any part of the body It is also possible to grow. As for the word "tumor", it will inevitably be misunderstood by the general public. However, in medicine, it only represents a mass. In other words, a tumor formed by the proliferation of body cells may not necessarily be the same Malignant "cancer" is equated.

In appearance, lipomas are raised bumps under the skin, which are soft to the touch, with clear boundaries and can be pushed by pressing. Most lipomas grow as a single one, but there are also a few patients who have multiple lipomas due to genetic constitution, called "multiple lipomas". In terms of symptoms, lipomas usually grow slowly and do not grow until they become larger. Generally, no pain or discomfort is felt by the patient, unless the lipoma compresses the peripheral nerve, or the blood vessel contraction of angiolipoma (Note1) will cause pain.

A patient once asked in the clinic whether he had a lipoma because he ate black heart oil. The answer was of course "X", because although the age of lipoma is 40-60 years old, it is just like the above. There is no clinical correlation between appearance and age, gender, weight, diet, and lifestyle. Therefore, lipomas can only be explained by "physique" and "inheritance". In addition, sometimes the skin is injured and the affected area There is also a chance to cause fat hyperplasia and form lipoma.

Under what circumstances do lipomas need to be treated?

Treatment principle: treatment is needed only when there is discomfort.

Most lipomas are benign, and there are very few cases of cancerous lesions. Therefore, it is recommended that treatment is needed unless the lipomas are too large to oppress and cause discomfort or pain, which greatly affects appearance.

How to treat lipoma?

1. Surgical resection:This method is a simple outpatient operation. It only requires local anesthesia, no general anesthesia, and access to the surgical room. The operation time can usually be completed successfully within 30 minutes. Because the lipoma has the characteristics of being covered with a membrane (Note 2) and soft Q, the wound does not need to be too large to remove the lipoma, and pathological tests can be performed to determine whether it is benign. After the operation, you only need to take care of the wound, keep it clean, and you can recover smoothly. Also, because the wound is small, patients who care about appearance should not worry too much about the problem of obvious scars.
2. Liposuction :This method is similar to liposuction, just open a small hole to suck out the lipoma. The advantage is that the wound is smaller than surgical resection, the recovery period is shorter, and it is more convenient to take care of; the disadvantage is that it may relapse due to incomplete suction and it is not a health insurance payment item.

If you are reading this article and find that you have a lipoma, it is still recommended to go to the hospital for examination by a doctor. After the diagnosis is confirmed as a lipoma, you can consider whether to treat it immediately. However, the larger the lipoma, the more complicated the surgical resection will be, and the wound and recovery period will be larger and longer than that of a small lipoma. Therefore, if the lipoma is already larger than about 5 cm (inclusive), it is recommended. Perform surgical resection as soon as possible.

A small reminder from the dermatologist:

Not all tumors under the skin are benign lipomas. Do not diagnose by yourself, especially if the subcutaneous tumors grow rapidly and have ulcers on the surface. It is likely to be other malignant skin diseases. It is recommended to seek medical attention as soon as possible for professional examination and evaluation.

Note 1: Angiolipoma refers to the symptoms of lipoma containing more blood vessels.

Note 2: Most lipomas are covered with a thin layer of membrane and are isolated from the surrounding normal tissues, so they can feel sliding under the skin when touched, and they are also convenient for complete removal during surgical resection.

Lipomas are also called lipomas . These tumors usually grow on the trunk, neck, armpits, upper arms, thighs, or internal organs. So how to treat diffuse lipoma? Do I need to be hospitalized for lipoma surgery?

How to treat diffuse lipoma?

Lipoma is a relatively common benign body surface tumor, which generally does not transform into a malignant tumor. Clinically, it can be divided into two types: simple and diffuse.

Simple ones are single and multiple hemispherical or spherical. It is sensual on palpation, chestnut-to-egg-large, higher than the skin surface, or not in the tissue, and can move. The surface skin is normal or slightly blue, and generally lacks conscious symptoms. Lipomas grow slowly , stop at a certain level, and sometimes shrink on their own. Because of its slow growth, rarely malignant, but most of the body and no serious adverse effects. Therefore, if it is asymptomatic, no special treatment is generally required, and of course it can be surgically removed.

Diffuse ones are subcutaneously infiltrated plaques or localized flat uplifts, with hard texture and clear borders, which are common in neck, forearm, waist, buttocks and other parts. For diffuse venereal disease who may try hormone orally or by injection. However, it should be noted that if the lipoma grows rapidly or is located deep, it may become cancerous and should be checked in the hospital.

Does lipoma need treatment?

Lipoma is a common benign tumor of soft tissue in the human body, composed of a large amount of fat and connective tissue. Such tumors usually occur in the neck, shoulders, back, buttocks, and inner thighs. They are mostly single or multiple. Small lipomas develop slowly and have very few malignant changes. Most of them have no serious adverse effects on the body. If there are no symptoms, no special treatment is generally required. However, if it grows rapidly, or grows in the deep, there is a possibility of cancer, it should be removed in time. Most lipomas are small in size, but a few can reach a huge size. If the large size causes dyskinesia or symptoms of compression, surgical resection can also be considered.

Do I need to be hospitalized for lipoma surgery?

For lipomas with a small diameter in the superficial area, surgery is not required, but if it is a lipoma in the peritoneum or on organs, a lipoma with a deep location and a large diameter, it must be hospitalized during surgery. So as to avoid surgical complications.