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Lipoma

Bradley M. Turner, MD, MPH, MHA Reviewed 06/2018
 


BASICS

DESCRIPTION

Lipomas are the most common soft tissue tumor (benign or malignant). In their most conventional (simple) form, lipomas are composed of mature adipose tissue, typically enveloped by a...

DIAGNOSIS

HISTORY

  • Useful questions on history are duration, associated symptoms, tenderness, recurrence, progression, similar lesions, and weight loss.

  • Lipomas are generally slow growing—if the presenti...

TREATMENT

  • If diagnostically certain that the lesion is a benign lipoma, observation is a consideration.

  • Treatment of lipoma typically consists of surgical excision; however, advances in medical treatme...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Usual surgical follow-up is needed to monitor for any complications. 

PATIENT EDUCATION

Handout: “What are lipomas?” Am Fam Physician. 2002;65(5):905; available at:...

REFERENCES

1
Pandya KA, Radke F. Benign skin lesions: lipomas, epidermal inclusion cysts, muscle and nerve biopsies. Surg Clin North Am.  2009;89(3):677–687. [View Abstract on OvidMedline]
2
Strauss...

ADDITIONAL READING

  • Aust MC, Spies M, Kall S, et al. Posttraumatic lipoma: fact or fiction? Skinmed.  2007;6(6):266–270.

  • Bancroft LW, Kransdorf MJ, Peterson JJ, et al. Benign fatty tumors: classifi...

CODES

ICD10

  • D17.9 Benign lipomatous neoplasm, unspecified

  • D17.79 Benign lipomatous neoplasm of other sites

  • D17.1 Benign lipomatous neoplasm of skin, subcu of trunk

  • D17.0 Ben lipomatous neoplm of skin, sub...

CLINICAL PEARLS

  • Lipomas are slow growing, often asymptomatic, and typically diagnosed without imaging or biopsy.

  • Asymptomatic subcutaneous lipomas can be followed clinically unless there is diagnostic ...

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