Lipoma CT presentation

Written by Liu Huan Huan
General Surgery
Updated on February 02, 2025
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Lipomas are relatively common clinically and are one of the more frequent types of superficial tumors, commonly occurring on the limbs and trunk. Generally, a physical examination and ultrasound are sufficient for an accurate diagnosis of a lipoma, and there is no need for the patient to undergo a CT scan. However, if a CT scan is performed, lipomas can present in the following ways: first, a regular or lobulated mass may be found under the skin with sparse blood flow and a regular shape; second, on a CT scan, lipomas appear as low-density lesions, with CT values typically ranging between -70 HU to -90 HU. Diagnosis of a lipoma can be confirmed through these two observations.

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Written by Zhang Peng
General Surgery
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Do lipomas need surgery?

Lipomas do not necessarily require surgical treatment. They can occur in various parts of the body and are usually characterized by good mobility, a complete capsule, no tenderness, a firm texture, and mostly clear boundaries. They often present no clinical symptoms and are found incidentally. Diagnosis can be confirmed through ultrasonography. In most cases, patients only need follow-up observation. However, for lipomas in special locations, if they affect appearance or grow rapidly causing symptoms, surgical treatment may be considered. After a complete excision, pathological examination is necessary because a very small number of cases may turn out to be liposarcomas, which might require further treatment.

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Written by Ma Xian Shi
General Surgery
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Do lipomas hurt?

Lipoma is a common clinical disease characterized by tumor-like normal adipose tissue, often occurring in the limbs and trunk. It has clearly defined margins, is lobulated, soft in texture, and may feel like a pseudocyst, with no pain symptoms. The growth is slow, and some can grow quite large. Deep-seated lipomas can potentially become malignant and should be surgically removed promptly. Another type is the painful lipoma, which often occurs in patients with a family history. These tumors are usually smaller and commonly distributed symmetrically. However, most lipoma patients do not experience pain symptoms; it is only the painful lipomas that are painful. These are also characterized by a family history, symmetrical distribution, and smaller size.

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Written by Liu Huan Huan
General Surgery
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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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Written by Zhang Peng
General Surgery
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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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Written by Liu Huan Huan
General Surgery
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Do lipomas require hospitalization?

Lipomas belong to superficial tumors and are categorized as benign. They are caused by the proliferation of subcutaneous adipose tissue. If treatment is desired, surgery is an option. Medication or other treatments are ineffective. If the lipoma is small, it can be surgically removed in an outpatient setting, typically under local anesthesia. For a larger lipoma, it is recommended that the patient be hospitalized for surgery, which involves intravenous anesthesia combined with local anesthesia to remove the lipoma.