Lipoma Surgery in Jabalpur

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Lipoma is a tumor composed of fat, benign in the vast majority of cases. It is often localized in the thigh, arm, neck, breast or back. How to remove a lipoma? Is the operation reimbursed? Can a lipoma be cancerous? Answers from Doctor, dermatologist.

Definition: what is a lipoma?

Lipomas are balls of fat 5 to 7 cm in diameter which form under the epidermis by the agglomeration of fatty globules. It happens when certain cells of the fatty tissue proliferate so much that they end up forming a lump, called a lipoma. " It is therefore a tumor, benign in the vast majority of cases ", explains Doctor, dermatologist. We do not really know the origin, they appear on different parts of the body, especially on the arms, neck, torso or breast . There are three main types of lipomas:

• The circumscribed lipoma (appearing under the skin or into a muscle),
• The diffuse lipoma (much rarer, resembling a benign tumor)
• Adeno-lipomatosis (which designates a lipoma associated with an underlying lymphadenopathy, located in a lymph node).

These tumors mainly affect adults between the ages of 40 and 60. We sometimes wrongly speak of "fatty cyst" to designate the lipoma. But "the term" fatty cyst "is not a medical term, when it is fatty, we are therefore not talking about a cyst, but a lipoma ", explains the dermatologist.

Lump in the breast: the sign of what?

Women often consult in gynecology because they have pain in the breast, feel something inside, feel a lump. They worry immediately, thinking of the worst, which is breast cancer. However, you should know that in 90% of cases, the balls inside the breasts are benign. What does a lump reveal?

Symptoms and pain of a lipoma

The lipoma is often localized to the shoulder girdle (both shoulder blades and both collarbones) and arms , but it can also be located in the breast, face or legs. Lipoma does not cause symptoms. They can stay a while before they are detected, unless they are in an unsightly location. They are therefore diagnosed by palpation. They can sometimes cause pain if they grow near a nerve, or if, in very rare cases, the tumor becomes cancerous.

Causes of a lipoma

" Their origin is often unexplained ", explains Doctor, there can be genetic predispositions, or they can appear following a shock, for example on the forehead when a patient is bumped ". they are often crushes, they can worry some patients who confuse them with a malignant tumor .

Diagnostic

Lipomas generally do not cause any complications , they are in the vast majority of mild cases. " If the doctor has any doubts, a clinical examination can tell whether it is a benign or cancerous tumor ", specifies Doctor. " It is the consistency and mobility of the lipoma that indicates its nature. If the lipoma changes in appearance, enlarges, becomes hard or painful, it may be cancerous and it is therefore necessary to consult, but this is a very rare situation " .

Treatment: how to remove a large lipoma?

It is possible to remove lipomas by liposuction (aspiration of fat) or by surgical removal. The resection of the lipoma is indicated only when its situation is inconvenient for the individual: namely " when it causes pain, functional or aesthetic discomfort, but also when the doctor has doubts about the benign nature ", details Doctor. So, how do you choose between liposuction and surgery? " It is on a case-by-case basis, " explains the dermatologist. " The liposuction allows fast operation and no scar. " It is therefore recommended for small lipomas. As for the surgery , "this alone guarantees that there will be no recurrence, because only by operating can we be completely sure to remove all the tumor. But it creates a scar as large as the size of the lipoma .

Note that there is only one situation in which we are sure that it is necessary to operate: cancerous lipomas , in order to ensure that all risk is removed.

Lipoma surgery: is it reimbursed?

As for the reimbursement of the operation, it depends on its purpose. If it is only aesthetic, it is not supported. On the other hand, if it is a medical necessity, Social Security reimburses part of its cost , and the mutual company supplements the reimbursement according to the rate subscribed.

What is a sebaceous cyst?

The sebaceous cyst is a particular form of cyst, which designates a swelling containing a pasty substance consisting mainly of sebum and surrounded by a wall, the shell. It forms in the upper part of the skin during dysfunction of the sebaceous glands. These glands are attached to the hairs, constituting the pilosebaceous apparatus. Their role is to synthesize sebum, a substance essentially composed of lipids, which has the function of protecting the skin. When they become blocked causing sebum to build up, a cyst or acne lesions can form .

In the majority of cases, sebaceous cysts appear where the sebaceous glands are most numerous, ie on the face, neck, trunk, and sometimes the scalp. They form a small, firm, well-defined subcutaneous bump, skin-colored or slightly white-yellow. Men get cysts more often because of their thicker skin.

Should a sebaceous cyst be removed or treated?

For Doctor, a sebaceous cyst is a benign, painless lesion that does not cause any particular discomfort in the majority of cases.

It is a so-called “cold” or “asymptotic” cyst that does not need to be removed unless it generates a functional or aesthetic gene. It can also be removed for prevention to prevent it from igniting. This intervention will be done under local anesthesia in a doctor's office or in a surgical structure if the cyst is large or located in a delicate or risky area. This will involve making an incision in the skin opposite the cyst and removing it and its shell to prevent it from reappearing later.

However, under favorable circumstances (friction, handling, stress , sun, heat, fatigue, etc.), it can ignite or even become infected, requiring urgent medical and surgical consultation. In these cases, it becomes hot, red, increases in size, and becomes painful and bothersome. It can then be colonized by local bacteria and become superinfect.

It then turns into an abscess with a risk of spontaneous rupture allowing purulent sebum to flow. It is in these situations of inflammation and superinfection that it is imperative to make an appointment with your doctor, in order to receive appropriate local care. As a first step, the doctor will advise the application of an antiseptic and / or an antibiotic locally. If the cyst is infected, oral antibiotic treatment may be prescribed for a period of 5 to 7 days.

Finally, if the cyst is accessed, ready to rupture, it will be necessary to drain it under local anesthesia with subsequent local care for 10 to 15 days possibly performed by a nurse.