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Lipoma

Bradley M. Turner, MD, MPH, MHA, FCAP, FASCP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Lipomas are the most common soft tissue tumor (benign or malignant).

  • One of several distinct benign lipomatous tumors. In its most conventional (simple) form, lipomas are composed of ...

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. [View Abstract on OvidMedline]

  • Burt AM, Huang BK. Imaging review of lipomato...

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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