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Here are some general preoperative instructions to follow before a benign tumor excision: Lipoma removal procedures are usually performed under anesthesia local as opposed to general anesthesia or sedation used in long-term surgical cases. The use of local anesthesia allows for faster surgery and faster recovery time, so that the patient can resume normal daily activities quickly. We will explain below how small lipomas are eliminated by the technique of nucleation and how large lipomas are excised to be removed.
The pathogenesis of a pericallosal lipoma is considered as the result of an abnormal absorption of the mined primitive. Usually, this absorption occurs between the eighth and the tenth week of development (6, 7). When the meninx primitive persists longer, instead of being re-sorbed, it is differentiated into lipomatous tissue. Such a lipoma can develop in all cerebral tanks, but they are much more common in the corpus c area.allosum where it interferes with its normal growth between the 11th and the 20th weeks.
Their laboratory exams were unremarkable and they were prepared for surgical excision. The masses were completely excised under general anesthesia. The postoperative recoveries of both patients were uneventful. Cut slices of tumors showed lobulated yellow tissue without hemorrhage or necrosis. Microscopic examination revealed circumscribed congenital tumors composed of mature adipocytes (Figure 2) confirming the diagnosis of vulvar lipoma.
This lovely patient drove a few hours to come see me. She has had this lipoma removed in the past but it grew back. As you can see it’s pretty big in size.