Most lipomas do not require any treatment. Most lipomas stop growing and remain indefinitely without causing any problems. Occasionally, lipomas that interfere with the movement of adjacent muscles may require surgical exertion. Several methods are available: Book: Textbook of Dermatology. Ed Rook A, DS Wilkinson, FJB Ebling, HR Champion, Burton JL. Fourth edition. Blackwell Scientific Publications.
They often require no treatment other than observation. However, if a lipoma is painful or continues to get fat, it can be removed by a simple procedure of excision. While all lipomas consist of fat, there are subtypes based on how they appear under the microscope. Some varieties include: The cause of lipomas is not completely understood. Some subtypes appear to have a genetic defect (conventional lipomas, spindle cell lipomas, pleomorphic lipomas) and can be inherited from family members.
Liposarcomas are true malignant tumors of the mesenchyme. The result and the prognosis are excellent for the benign lipomas. Recurrent is rare but can occur if excision is incomplete. Chiang JM, Lin YS. Tumor spectrum of adult intussusception. J Surg Oncol. Nov. Nov. 1998 (6): 444-7. Medline. Sakurai H, Kaji M, Yamazaki K, et al. Intrathoracic lipomas: their clinicopathological behaviors are not as simple as expected.
When aspirating subcutaneous solid tumors that could be confused with lipomas, however, the risk is low and offset by the benefits of having a precise diagnosis. The usual recommendation for fat tumors is to wait and watch. Sometimes, lipomas develop rapidly, but in most cases their growth is slow. They rarely cause problems unless they become unusually large or their location creates mechanical problems.
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