Diluted lidocaine generally provides an adequate anesthetic for office liposuction. Surgical excision of lipomas often results in a cure. Before surgery, it is often useful to draw a contour of lipoma and planned cutaneous excision with a marker on the surface of the skin (Figure 2). The contour of the tumor often helps to demarcate margins, which can be obscured after administration of the anesthetic.
Lipoblastomas occur almost exclusively in infants and children. They have a benign clinical course and a low recurrence rate after surgical excision. Hibernomas, also rare, derive their name from the morphological resemblance to the brown fat of hibernating animals. They probably come from the fat that can occur in the back, hips or neck in adults and infants. Atypical lipomatous tumors are generally considered low-grade sarcomas, with a high propensity for recurrence but low metastatic potential.
Lipomas are usually unique but can grow in crops. They are sweet and pitiful in consistency. Lipomas are essentially painless and generally asymptomatic when observed 5. They will be noticed only when one feels swelling on the part of the body. The "slip sign" is very characteristic and helps to diagnose lipomas. When a lipoma is held between the fingers, it slips out of the fingers and therefore, the diagnostic sign is called sign of slip 6.
Recognition of this benign vulvar swelling is important to differentiate it from cystic swellings and malignant neoplasms of the vulva. We are grateful to the women for giving their consent to the publication of their files. National Biotechnology Information Center, National Medical Library of the United States 8600 Rockville Pike, Bethesda MD, 20894 United States Criteria for Surgical Pathology.
Steroid injections are best reserved for small lipomas whereas liposuction alone does not allow complete revision or histopathological evaluation of the tumor.5,6 The diagnosis of two cases of vulvar lipoma within six months in a center may suggest that this condition is not current thinking is rare and emphasizes the need to subject all excisional lesions to an Histopathological evaluation. Two cases of vulvar lipomas detected within six months in adults are presented. The lipomas have been removed by a complete surgical exeresis and the diagnosis confirmed by histopathology.
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