Do lipomas require hospitalization?

Written by Liu Huan Huan
General Surgery
Updated on September 26, 2024
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Lipomas belong to superficial tumors and are categorized as benign. They are caused by the proliferation of subcutaneous adipose tissue. If treatment is desired, surgery is an option. Medication or other treatments are ineffective. If the lipoma is small, it can be surgically removed in an outpatient setting, typically under local anesthesia. For a larger lipoma, it is recommended that the patient be hospitalized for surgery, which involves intravenous anesthesia combined with local anesthesia to remove the lipoma.

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Written by Zhang Peng
General Surgery
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What is lipoma surgery?

The necessity of surgery for lipomas depends on their location. Lipomas are commonly found on the limbs. Whether surgery is needed depends on the size, location, and impact of the lipoma on the body. Surgery is generally recommended for lipomas that are particularly large or symptomatic. The surgical procedure involves excision followed by a pathological examination, as there is still a possibility that some lipomas could be liposarcomas, especially when located on the limbs, where such cases are more common. Therefore, for lipomas with significant symptoms and prominent manifestation, surgical removal is usually advised.

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Written by Liu Huan Huan
General Surgery
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Do lipomas hurt?

Lipomas are very common in clinical practice, often found on the limbs and trunk. They are relatively superficial tumors located under the skin, composed of fatty tissue. Most patients do not exhibit obvious clinical symptoms and only discover a mass under the skin. The mass typically appears lobulated or flat, is fairly firm, and does not present any redness on the surface. It can be moved, which is a characteristic manifestation of lipomas. However, a very small number of patients may experience pain in the lipoma, at which point surgery can be considered to alleviate the pain.

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Written by Liu Huan Huan
General Surgery
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Symptoms of Lipoma

Lipomas are considered superficial tumors, often caused by proliferation of subcutaneous fat. When lipomas occur, patients may feel localized pain, but most patients do not have significant pain symptoms. Instead, a mass appears under the skin, which typically presents as lobulated, can be moved, and has a smooth surface. The consistency is either relatively firm or soft. These are typical clinical manifestations of lipomas. Clinically, an ultrasound examination is needed to assist in the diagnosis, and surgical removal is recommended after diagnosis.

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Written by Ma Xian Shi
General Surgery
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Treatment of Lipoma

Lipomas are a common type of benign tumor that we see clinically. Most cases are benign, and malignant transformation is very rare. Lipomas consist of normal, fatty-like tissue and primarily occur on the limbs and trunk. They have clear boundaries, are lobulated in appearance, soft in texture, and may feel like a false cyst. They are painless and grow slowly. Some can grow very large, and deep-seated ones may undergo malignant transformation and should be treated surgically in a timely manner. In terms of treatment for lipomas, medication is ineffective. Small lipomas can be monitored periodically. If a lipoma is large, affects daily life or aesthetics, or is a deep-seated lipoma that might become malignant, surgical treatment is required.

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Written by Zhang Peng
General Surgery
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Do lipomas need surgery?

Lipomas do not necessarily require surgical treatment. They can occur in various parts of the body and are usually characterized by good mobility, a complete capsule, no tenderness, a firm texture, and mostly clear boundaries. They often present no clinical symptoms and are found incidentally. Diagnosis can be confirmed through ultrasonography. In most cases, patients only need follow-up observation. However, for lipomas in special locations, if they affect appearance or grow rapidly causing symptoms, surgical treatment may be considered. After a complete excision, pathological examination is necessary because a very small number of cases may turn out to be liposarcomas, which might require further treatment.