Treatment of Lipoma

Written by Ma Xian Shi
General Surgery
Updated on April 03, 2025
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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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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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Can lipomas be treated with moxibustion?

Lipomas are relatively common subcutaneous tumors that often occur on the limbs and trunk. They consist of fatty tissue and generally do not present clinical symptoms. Patients with lipomas can undergo moxibustion treatment, a traditional Chinese medical practice that is beneficial for health. However, moxibustion does not treat lipomas, and it does not cause lipomas to shrink or disappear. Clinically, the only way to remove a lipoma is through surgical excision.

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Written by Liu Huan Huan
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What is a lipoma?

Lipoma is a type of benign tumor, classified as a superficial disorder. Its tissue is composed of fatty tissue. Patients often develop a lump under the skin, which has clear boundaries and the skin surface does not show swelling or ulceration. Generally, the lump is lobular or flat in shape. Since lipoma is a benign tumor, it can typically be managed by regular check-ups. If the lipoma is relatively large, or if there is localized concealed pain, surgical removal can be performed under local anesthesia.

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Written by Liu Huan Huan
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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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Do lipomas need to be treated?

Whether a lipoma needs treatment depends on its location, size, shape, and presence of symptoms. If the lipoma is small and symptom-free, it generally does not require treatment. Lipomas are benign lesions formed by abnormal growth of subcutaneous fat and rarely become cancerous. However, if the lipoma is large, causing compressive symptoms, or noticeably growing fast over a short period, along with local pain, it should be considered for complete excision under local anesthesia. After removal, it is generally necessary to send the specimen for pathological examination, and depending on the situation, decide whether to place a drainage tube at the wound site.