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Lipoma Excision

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children's Medical Center

Abstract

Lipomas are slow growing lumps that occur due to overgrowth of fat cells. They present as doughy, moveable, and non-tender lumps usually found underneath the skin, but may occasionally be deeper. Lipomas occur in 1 in every 1,000 people and commonly grow on the upper back, shoulders, and abdomen. In most cases, lipomas are painless unless they affect joints, nerves, or blood vessels. A physical examination is the easiest way to diagnose a lipoma, but imaging studies and biopsy may aid in the diagnosis when it is large, has unusual features, and appears deep. No treatment is usually necessary for a lipoma; however, if the lipoma is painful or growing, removal may be recommended by excision or liposuction. Here, we present a 35-year-old male who has a large and deep 8-year-old lipoma on his upper back. The lipoma was excised and sent for biopsy.

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