Lipoma CT presentation

Written by Liu Huan Huan
General Surgery
Updated on February 02, 2025
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Lipomas are relatively common clinically and are one of the more frequent types of superficial tumors, commonly occurring on the limbs and trunk. Generally, a physical examination and ultrasound are sufficient for an accurate diagnosis of a lipoma, and there is no need for the patient to undergo a CT scan. However, if a CT scan is performed, lipomas can present in the following ways: first, a regular or lobulated mass may be found under the skin with sparse blood flow and a regular shape; second, on a CT scan, lipomas appear as low-density lesions, with CT values typically ranging between -70 HU to -90 HU. Diagnosis of a lipoma can be confirmed through these two observations.

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Written by Liu Huan Huan
General Surgery
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Lipomas belong to which department?

Lipomas are relatively superficial tumors. Generally, lipomas fall under the category of general surgery, and general surgeons can easily diagnose and remove them through surgery. However, there are exceptions. If the lipoma is located deeper and in the chest area, it is recommended for the patient to consult the thoracic department for further diagnosis and treatment. If the lipoma is located in the scapular area and is relatively large and deep, it is recommended for the patient to consult the orthopedic department. Orthopedic specialists are more familiar with the local anatomy, which can lead to better treatment outcomes for the patient.

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Written by Liu Huan Huan
General Surgery
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Lipoma CT presentation

Lipomas are relatively common clinically and are one of the more frequent types of superficial tumors, commonly occurring on the limbs and trunk. Generally, a physical examination and ultrasound are sufficient for an accurate diagnosis of a lipoma, and there is no need for the patient to undergo a CT scan. However, if a CT scan is performed, lipomas can present in the following ways: first, a regular or lobulated mass may be found under the skin with sparse blood flow and a regular shape; second, on a CT scan, lipomas appear as low-density lesions, with CT values typically ranging between -70 HU to -90 HU. Diagnosis of a lipoma can be confirmed through these two observations.

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Written by Liu Huan Huan
General Surgery
41sec home-news-image

What department should I go to for a lipoma?

Lipoma is a disease within the range of superficial tumors. If a patient suspects a lipoma, they should visit the corresponding medical department for treatment, which is primarily determined by the location of the lipoma. If the patient has a lipoma on their limbs, they can visit the orthopedics department for diagnosis and treatment; if the lipoma is located in the abdominal area, the patient can visit general surgery; if the lipoma is located in the chest area, the patient can visit the thoracic surgery department for treatment. Lipomas often require surgical removal, performed by doctors from the aforementioned departments, allowing the patient to recover quickly.

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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.

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Written by Liu Huan Huan
General Surgery
41sec home-news-image

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.