Can lipomas disappear?

Written by Zhang Peng
General Surgery
Updated on November 29, 2024
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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 Ma Xian Shi
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Is lipoma serious?

Lipoma is a common disease in clinical practice, and it is generally not very serious, so there is no need for excessive worry. A lipoma is a tumor-like mass of normal tissue, commonly found on the trunk and limbs of the body. It has a clear boundary and is lobulated, soft, and may feel like a false cyst, painless, and grows slowly. Some can be quite large. Deep lipomas that might turn malignant should be removed promptly. Generally speaking, lipomas only require surgical treatment if there is suspicion of malignancy, if the tumor is large enough to affect daily life or aesthetics, or if malignancy is suspected.

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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 Ai Bing Quan
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How to prevent lipomas

For the prevention of lipomas, it is first necessary for patients to strictly control their weight. This is because if there is an excess of fat in the body, it is very easy for lipomas to form. Therefore, it is recommended that patients maintain a light diet in everyday life, avoiding the intake of too much high-fat and high-cholesterol food. They should eat more fresh vegetables and fruits, maintain a pleasant mood, relieve worries, avoid emotional tension, and regularly participate in exercise.

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Written by Zhang Peng
General Surgery
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Is surgery recommended for lipomas?

Whether lipomas need surgical treatment often depends on the location, size of the lipoma, and whether it causes related clinical symptoms. If the lipoma grows too fast during observation, is in a special location, or severely affects appearance, surgical treatment can be considered. Alternatively, if the lipoma shows evident symptoms like localized redness, pain, surface itchiness, and uneven surfaces, timely color ultrasound re-examination should be done as malignancy cannot be ruled out, and timely surgical removal and biopsy are necessary. Thirdly, if the lipoma grows too quickly and causes compression symptoms, damaging other organs, surgical treatment should also be considered. Generally, lipomas are benign lesions, but there is also a possibility that they could develop into liposarcomas, which should be confirmed based on postoperative biopsy.

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Written by Liu Huan Huan
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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.