Do lipomas need to be treated?

Written by Ai Bing Quan
General Surgery
Updated on September 07, 2024
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Lipomas are a type of benign disease. For smaller lipomas, such as those with a diameter of about 1 centimeter, it is not necessary to consider surgical treatment. However, it is important to monitor the size of the lipoma. In cases where the lipoma is larger, for example, exceeding 3 centimeters in diameter, or if there is pain in the lipoma, or if it grows significantly in a short period of time, surgical removal should be considered. The surgery can be performed under local anesthesia, with lidocaine injected into the skin and subcutaneous tissue. Once anesthetized, an incision is made along the skin lines over the surface of the lipoma, followed by strategic separation and complete excision of the lipoma. The excised lipoma should then be sent to the pathology department for pathological examination.

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Lipoma outpatient or hospitalization

Lipomas are relatively superficial and clinically classified as surface tumors, typically located beneath the skin. Clinically, lipoma surgeries can generally be conducted in an outpatient setting, performed under local anesthesia. However, this is not absolute. Some lipomas are larger, and performing the surgery under local anesthesia can be very painful for the patient, complicating the complete removal of the lipoma and affecting surgical operations. In such cases, hospitalization and surgery under intravenous anesthesia are generally recommended, as this allows for better patient cooperation and the thorough removal of the lipoma.

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How is a lipoma treated?

Lipomas are commonly seen in clinical practice and are a type of superficial tumor that are benign. They frequently occur on the limbs and trunk. Lipomas are located subcutaneously and are composed of fatty tissue. If the lipoma is small and the patient does not exhibit any significant clinical symptoms, conservative observation can be adopted as a treatment method. If the lipoma is relatively large, grows rapidly, or is accompanied by concealed pain, surgical treatment can be considered. Clinically, lipomas can be excised under local anesthesia; medication or massage are both ineffective.

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Can lipomas disappear?

Lipomas generally do not disappear on their own, and currently the only effective treatment for subcutaneous lipomas is surgical removal. However, lipomas are typically managed with an observational approach in clinical settings. Regular ultrasound checks can be scheduled to assess the growth rate of the lipoma and monitor any clinical symptoms it may cause. Observation is mainly employed because lipomas rarely turn malignant and because lipomas, especially those on the body's surface, often appear as multiple lesions. Complete removal can lead to surgical scars, affecting the appearance. Most lipomas grow slowly, often remaining asymptomatic under one centimeter, requiring no special treatment. During follow-up, if the growth rate is unusually rapid, malignancy cannot be ruled out, and surgical removal should be considered.

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Do lipomas infect other people?

Lipomas are non-contagious and are tumorous formations of normal fatty tissue, often found in the limbs and trunk. They generally have clear boundaries, are soft in texture, and may feel cystic without causing pain. Lipomas grow slowly and can sometimes become very large. For most lipomas, observation is sufficient, and diagnosis can be confirmed through ultrasonography. Most patients do not require surgical treatment. However, if there is suspicion of malignancy in deeper lipomas, timely surgical removal is necessary. For lipomas that grow rapidly, cause symptoms, or affect appearance, early surgical intervention is also recommended. If pathology confirms the diagnosis, some lipomas may be liposarcomas. Most can be assessed for risk, and further treatment might be needed.

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How to eliminate lipomas?

Lipomas are relatively common superficial tumors, which are benign tumors caused by subcutaneous fat proliferation. If a lipoma does not cause any obvious clinical symptoms and is relatively small, it may not require treatment. Clinically, if removal of the lipoma is desired, the only treatment is surgical removal. Under local anesthesia, the lipoma can be excised and the surgical incision sutured up to complete the procedure. Medication, physiotherapy, massage, etc., cannot eliminate lipomas. Therefore, as mentioned above, surgery is the only method to remove lipomas.