T
he time has come to talk about one of the most common benign growths, namely lipoma.
What is a lipoma?
A lipoma is a benign growth arising from adipose tissue. Lipoma comes from the Greek word lipos - fat. It presents as a soft, relatively well demarcated, "swelling" under the skin, in most cases partially mobile. Lipomas consist of mature adipocytes - fat cells and are covered by a fine fibrous capsule.
What provokes the appearance of such formations?
The main provoking factor for their appearance has not yet been 100% scientifically proven. In about 20% of cases, patients report trauma in the affected area. The most common trauma-induced lipomas are in the frontal facial area. Another important factor in the occurrence of these benign growths is genetic predisposition. The so-called hereditary lipomatosis is common among patients. This is a genetic disorder in which multiple lipomas are seen affecting different areas of the skin.
Which age group and which gender are more affected?
Lipomas occur in every age group, but are most common in people between 40-60.
Statistically, single lipomas are more common in females, while multiple lipomas are more common in males.
How is a skin lipoma diagnosed?
The first thing a patient should do when such formations appear and grow is to seek a specialist - a dermatologist, dermatosurgeon. In most cases, already on examination by palpation, an experienced doctor can be largely sure of the correct diagnosis. As in most cases in medicine, the final diagnosis is made by the dermatohistopathologist during the dermatohistopathological examination of the removed mass.
How should lipomas be removed?
In recent years, many procedures have appeared on the market - mesotherapies, other injectable procedures, lasers and so on. These have proven to be extremely ineffective and even dangerous when attempting to remove lipomas. They can lead to swelling, pain, redness, haematomas. Another important factor is that by these methods the growth cannot be examined by a pathologist. We dermatosurgeons compare these procedures to a "Russian roulette". Surgical excision followed by histological examination is the only adequate way to remove lipomas.
How does the surgical intervention works?
The manipulation is completely painless. In most cases, local anesthesia is administered in and around the surgical site. An incision is then made to access the growth. Carefully and as atraumatically as possible, the lipoma is separated from the surrounding tissue and the adhesions it has formed. Meticulous haemostasis is then performed and the surgical wound is closed using internal resorbable and external non-resorbable sutures. The sutures are removed on average 7-10 days after the intervention.
Can lipomas transform into malignant growths?
There are isolated cases of lipomas transformed into a malignant tumor - liposarcoma in the world literature. Liposarcoma in most cases involves the deep tissues of the buttocks, groin, abdominal area.
To what specialist should a patient with lipoma turn?
When such a type of formation is suspected, the patient should be consulted by a dermatologist-dermatosurgeon. Only a specialist with such a specialization can adequately diagnose and remove such growths.
We hope we have been helpful to you!
Пояими се Липом на седалището тоест по средата на самата кост или както го наричат по простичко на опашката ! Но имам много силни болки ,искам да питам някой знае ли това нормално ли е или е опасно