Fetal MR imaging confirmed the fat content and the location of the lesion in all five cases. He showed the choroidal extension in two patients and the type of callosal abnormality associated with another patient better than the ultrasound. In two patients, the lipoma increased, as revealed by subsequent postnatal MR imaging. The results of the neurological examinations remained normal for the five surviving patients with an average follow-up of 3 years (1 month - 9 years).
Intravenous administration of lidocaine analgesic may temporarily relieve pain in some cases. Trea cortisone injectionsLocalized pain can also provide relief. Surgical excision of fatty deposits around the joints can temporarily relieve symptoms, although recurrences often develop. Liposuction has been used as a supportive treatment in some people with Dercum Disease and can provide initial pain reduction and improved quality of life.
It is best to consult a dermatologist to evaluate the injury to make sure it is a lipoma and that it needs to be treated. These answers are for educational purposes and should not be considered as a substitute for any medical advice you may receive from your doctor. If you have a medical emergency, call 911. These answers do not constitute a patient / doctor relationship. Lipomas are non-carcinogenic masses caused by a proliferation of fat cells.
Multiple familial lipomatosis is a rare genetic disease characterized by by the formation of multiple benign masses or adipose tissue growths (lipomas). often affect the arms and legs (extremities). The size and number of lipomas vary from case to case. Some people can develop hundreds of small lipomas that do not cause symptoms (asymptomatic). Unlike Dercum's disease, lipomas do not cause pain. The neck and shoulders are generally not affected.
Hadley Wesson, M.D., Johns Hopkins general surgeon practicing at Howard County General Hospital, describes what a soft tissue mass is, the symptoms and treatment options. For more information…