The analysis of the complementary results provided by fetal RM imaging has been realized. All results were correlated with postnatal imaging and clinical outcomes. RESULTS: Obstetric ultrasonography readily demonstrated pericallosal lipoma in seven patients. In one, however, it has been misinterpreted as intracranial hemorrhage. The morphology and integrity of the underlying corpus callosum was less easy to assess using ultrasound.
For six years, Snow has solved Oak's lipomas with these techniques. After eight years, although they remained small, her lipomas became a management problem and have not been completely solved. At the age of 11, it had to be removed because it was a hindrance. The following year, Oak is deceased with only a few minor lipomas. "Lipomas are relatively superficial, just under the skin, just like the Meridians," says Snow.
She felt uncomfortable when she was wearing tight underwear. The physical examination revealed a single, soft, non-tender, lumpy mass in the large right labium that was about seven centimeters by five (cm) in its widest dimensions. Both cases had no history of vulvar trauma or mass discharge. Their medical, obstetrical and gynecological backgrounds were unspecific. The overlying skin was freely moving on each mass. There was no visible or palpable cough impulse or inguinal lymphadenopathy, and bimanual pelvic examinations were normal. A provisional diagnosis of vulvar lipoma was made in each case.
The cause of lipomas is unknown. It is possible that there is a genetic implication because many patients with lipomas come from a family having anterior to these tumors. Sometimes an injury such as a blunt blow on a part of the body can trigger the growth of a lipoma. People often ignore lipomas until they are big enough to become visible and palpable. This growth occurs slowly over several years.
If aspiration is inconclusive, surgical removal and histopathology may be necessary to arrive at a clear diagnosis. Invasive lipomas may require computed tomography (CT) or magnetic resonance imaging (MRI) to understand tissue mass and location. This can be important information for the surgeon to decide how much mass can be removed and what approach should be used for the surgery.