Lipoma

Question 1

Define Lipoma

Answer 1

Benign tumour of the adipose cells under a tissue
slow growing, and have no chance of metastases
One of most common tumours-in arms and chest
rarely-GI Lipoma-obstruction can cause issues

closely related to liposarcomas-need to differentiate them

Question 2

Aetiology and risk factors of Lipoma

Answer 2

idiopathic -no specific cause

risk factors
40-60
FHx

Question 3

Epidiemology of Lipoma

Answer 3

1% of everyone has lipoma

occur at any age, but more commonly 40-60

Question 4

Signs and Sx of Lipoma

Answer 4

accessible lesion
less than 5cm, painless, rounded and mobile
Skin overlying is normal
Soft/doughy feel

tenderness suggest abscesses
>10cm and harder suggest liposarcoma

Masses in peritoneum-can feel like abdominal mass
can lead to bowel obstruction, lower muscle weakness, paresthesia, GI bleeds
pain is very rare, weight loss uncommon

Question 5

Investigations of Lipoma

Answer 5

Imaging is the main port of call
MRI is modality of choice-discrete, small, encapsulated
( can be within muscle or have inflam/necrosis-making them look like well differentiated liposarcoma)

CT-same but not as good
USS-same

Core needle biopsy first
Then incision biopsy
Then excisonal