Lipoma Flashcards
How to diff from sebaceous cyst?
No punctum
Why is it Pseudofluctuant?
The fat globules are soft
How to elicit fluctuation
Pager’s test, fix the swelling with left hand, and press with index of right hand
What sites are never affected by lipoma and why?
Brain, eyelid, penis. Because they have no fat
How to detect attachment to skin?
Pinching and sliding
What Lipoma origin might be cancerous
Retroperitoneal
Commonest multiple skin swellings
Multiple naeri
General treatment
Conservative
Indications of excision?
Pain, complicated, cosmetically bad look
Complications
Cosmetic disfiguremen, and pressure on the spinal cord
What is Dercrum’s disease?
Painful, women-specific diffuse lipoma arising in the thigh
When does it become painful?
If Dercrum’s, infected, or physically pressing a nearby nerve
Where else can it arise
Subfascial, retroperitoneal, IM, Intraglandular.
How to differentiate subcutaneous from subfascial
Subfascial is flat and a smooth surface, subcutaneous is round, lobular; and soft.
Imaging?
US, biopsy if suspecting malignancy, and MRI if periphery
