Understanding Lipomas

A Patient's Guide to Fatty Tissue Tumors

Dermatology

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Last updated: Mar 24, 2025

What is a Lipoma?

A lipoma is a benign (non-cancerous) tumor composed of fat cells that grows slowly beneath the skin. These soft, rubbery lumps typically feel doughy and move easily when pressed.

Key Characteristics

  • Soft and moveable
  • Usually painless
  • Located just under the skin
  • Most commonly found on:
    • Trunk
    • Shoulders
    • Neck
    • Forearms

Common Symptoms

  • Round or oval-shaped lumps
  • Size typically between 0.4 to 1.2 inches (1-3 cm)
  • Soft and doughy texture
  • Pale skin color over the lump

Risk Factors

  • Age (most common between 40-60 years)
  • Genetics/family history
  • Certain medical conditions

Diagnosis

Primary Methods:

  1. Physical examination
  2. Medical history review
  3. Imaging tests (if needed):
    • Ultrasound
    • MRI
    • CT scan

Treatment Options

Conservative Management

  • Observation if the lipoma is:
    • Small
    • Not growing
    • Not causing symptoms

Surgical Options

  • Excision (surgical removal)
  • Liposuction
  • Steroid injections

When to Seek Medical Attention

  • Rapid growth
  • Pain or tenderness
  • Changes in appearance
  • Size larger than 2 inches

Outlook

Lipomas are generally harmless and have an excellent prognosis. Most remain stable in size and don't require treatment unless they become bothersome or affect appearance.

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