A lipoma is a fatty mass under the skin that can occur anywhere on the body. It can be painful, but often times is felt by a patient or spouse and can increase in size over time. These are best diagnosed by a physical exam or ultrasound. In most cases, these are removed as an outpatient procedure either in the office or at a surgery center.
A cyst is similar to a lipoma, in that it presents as a mass just under the skin and can occur anywhere on the body. A cyst, however, can present more acutely as an infection or even rupture draining pus. The treatment for a cyst is removal, unless it is infected, in which case the infection must be treated before it can be removed.
To diagnose a lipoma, your doctor may perform:
There's a very small chance that a lump resembling a lipoma may actually be a form of cancer called liposarcoma. Liposarcomas — cancerous tumors in fatty tissues — grow rapidly, don't move under the skin and are usually painful. A biopsy or an MRI or CT scan is typically done if your doctor suspects liposarcoma.
Often times no treatment is usually necessary for a lipoma. However, if the lipoma bothers you, is painful or is growing, your doctor might recommend that it be removed. The treatment for lipoma is a surgical excision. Recurrences after removal are uncommon. Possible side effects are scarring and bruising. A technique known as minimal excision extraction may result in less scarring.
Your doctor is likely to ask you questions, too, including:
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