The area is draped with sterile napkins. Local anesthesia is given with 1% or 2% lidocaine with epinephrine, usually in bulk. Infiltration of the anesthetic into the subcutaneous area surrounding the operative field creates a field block. Small lipomas can be eliminated by electrolysis. An incision of 3 mm to 4 mm is made on the lipoma. A curette is placed inside the wound and used to release lipoma from the surrounding tissue.
Symptoms that occur in association with CPA lipoma generally mimic those associated with acoustic neuromas. Lipomas of the trigeminal nerve typically cause progressive focal neurological symptoms due to involvement of nerve fascicles and adjacent neural structures. Triggered lipomas infiltrate nerve bundles2, so surgical excision, even partial, can lead to neurological deficits. MRI assists in accurate localization and tissue characterization prior to surgery, 3 and also helps to differentiate lipomatosis of the nerve from a hyper-intense extra-urinary Realized T1.
Because ultrasound is highly sensitive, specific and reliable4,5 when necessary in developing countries. We recommend that ultrasound be the radiological examination of choice because it is less expensive and relatively more available in such contexts. Computed tomography and MRI are useful for evaluating the anatomical extensions of vulvar lipomas and differentiating them from liposarcomas1.
However, in case of doubt, a deep skin biopsy can be performed, which will show the typical histopathological features of the lipoma and its variants. The rare lipid cancer, liposarcoma, almost never occurs in the skin. Liposarcoma is a deep tumor andIt often grows on the thigh, groin or back of the abdomen. If your lipoma gets bigger or painful, consult your doctor. A skin biopsy may be necessary to rule out liposarcoma.
This patient came in with his whole family. He is not a popaholic, but his wife and some of his kids are. They travelled from a distance to see me. He is a sweet …