Do lipomas hurt?

Written by Ma Xian Shi
General Surgery
Updated on September 08, 2024
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Lipoma is a common clinical disease characterized by tumor-like normal adipose tissue, often occurring in the limbs and trunk. It has clearly defined margins, is lobulated, soft in texture, and may feel like a pseudocyst, with no pain symptoms. The growth is slow, and some can grow quite large. Deep-seated lipomas can potentially become malignant and should be surgically removed promptly. Another type is the painful lipoma, which often occurs in patients with a family history. These tumors are usually smaller and commonly distributed symmetrically. However, most lipoma patients do not experience pain symptoms; it is only the painful lipomas that are painful. These are also characterized by a family history, symmetrical distribution, and smaller size.

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Written by Liu Huan Huan
General Surgery
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Is a lipoma okay?

Lipomas are a type of tumor on the surface of the body and are benign. Patients generally do not exhibit significant clinical symptoms but might feel occasional, localized pain. Lipomas can gradually grow larger, and although rare, there is a possibility of malignancy if a lipoma persists over a long period. If a patient experiences pain or the lipoma is relatively large, it is recommended to undergo surgical treatment. Clinically, lipomas can be removed under local anesthesia, which is a minor and safe procedure, effectively curing the lipoma.

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Written by Ma Xian Shi
General Surgery
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How is lipoma treated?

Lipoma is a common disease in our clinical practice. Most lipoma patients have a benign tumor, which is a tumorous mass of normal fatty tissue, commonly found on the limbs and trunk, with clear boundaries, lobulated, soft in texture, possibly pseudo-cystic, painless, slow-growing, and some may be very large. For deep lipomas that may have the potential for malignancy, timely surgical removal is necessary. For small lipomas, we generally observe them periodically. If the tumor is large and affects normal life or aesthetics, surgical removal can be considered. For deep lipomas, where there is a suspicion of malignant transformation, timely surgery is advisable for treatment.

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Written by Liu Huan Huan
General Surgery
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Do lipomas grow?

Lipoma is a type of tumor on the surface of the body, which is relatively common in clinical practice and often occurs in the limbs and trunk. After the development of a lipoma, a mass generally appears under the skin; the mass is tough and lobulated or flat, and the surface skin remains intact, which can be used to diagnose a lipoma. Once a lipoma develops, it may grow larger, but the growth rate is generally slow, and there are usually no obvious clinical symptoms. If a patient notices that the lipoma is enlarging, surgical removal can be considered.

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Written by Liu Huan Huan
General Surgery
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Lipoma outpatient or hospitalization

Lipomas are relatively superficial and clinically classified as surface tumors, typically located beneath the skin. Clinically, lipoma surgeries can generally be conducted in an outpatient setting, performed under local anesthesia. However, this is not absolute. Some lipomas are larger, and performing the surgery under local anesthesia can be very painful for the patient, complicating the complete removal of the lipoma and affecting surgical operations. In such cases, hospitalization and surgery under intravenous anesthesia are generally recommended, as this allows for better patient cooperation and the thorough removal of the lipoma.

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Written by Zhang Peng
General Surgery
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Can lipomas disappear?

Lipomas generally do not disappear on their own, and currently the only effective treatment for subcutaneous lipomas is surgical removal. However, lipomas are typically managed with an observational approach in clinical settings. Regular ultrasound checks can be scheduled to assess the growth rate of the lipoma and monitor any clinical symptoms it may cause. Observation is mainly employed because lipomas rarely turn malignant and because lipomas, especially those on the body's surface, often appear as multiple lesions. Complete removal can lead to surgical scars, affecting the appearance. Most lipomas grow slowly, often remaining asymptomatic under one centimeter, requiring no special treatment. During follow-up, if the growth rate is unusually rapid, malignancy cannot be ruled out, and surgical removal should be considered.