Lipomas: When Surgery is Necessary for Painful Growths

A hard mass under the skin - lipoma?

Hello, I have a hard lump under the skin that is painful to touch and appears slightly red.
Do I need surgical treatment? Can it be sutured with absorbable sutures? How long will the surgery take? Thank you, doctor.

Mrs. He, 30~39 year old female. Ask Date: 2016/06/15

Dr. Li Zhonghuai reply Surgery

Hello! Based on your symptoms, it seems more like a sebaceous cyst.
I recommend surgical excision, using fine nylon sutures for closure.
The surgery will take approximately 10 minutes.
Wishing you a safe procedure! Changhua Hospital cares about you!

Reply Date: 2016/06/15

More Info

When it comes to understanding lipomas and the circumstances under which surgery is necessary, it’s important to first clarify what a lipoma is. A lipoma is a benign tumor made up of fat tissue. They are generally soft, movable, and painless, and they can occur anywhere on the body. However, in some cases, a lipoma can become painful, especially if it presses against nerves or other structures, or if it becomes inflamed.

In your case, you mentioned that you have a hard lump that is painful and has a slightly red appearance. This could indicate that the lump is not a typical lipoma but rather a different type of growth, such as a sebaceous cyst, an epidermoid cyst, or even a more serious condition. Pain and redness are often signs of inflammation or infection, which may require medical intervention.

Surgery is typically recommended for a lipoma if it is causing discomfort, pain, or if there is uncertainty about the diagnosis. If the lump is indeed a lipoma and is symptomatic, surgical removal is often the best course of action. The procedure is usually straightforward and can often be performed under local anesthesia, meaning you would be awake but the area would be numb. The surgery generally takes about 15 to 30 minutes, depending on the size and location of the lipoma.

Regarding your question about using "meat thread" for suturing, it’s important to clarify that the term you are using may refer to a type of suture material. In surgical practice, various types of sutures are used, including absorbable and non-absorbable materials. The choice of suture depends on the location of the incision and the surgeon's preference. Generally, for skin closure, the surgeon may use absorbable sutures that dissolve over time or non-absorbable sutures that need to be removed after a certain period.

As for recovery, most patients can return to their normal activities within a few days after surgery, although it’s advisable to avoid strenuous activities for a short period to allow the surgical site to heal properly. If the lump is inflamed or infected, the recovery time may be longer, and additional treatment such as antibiotics may be necessary.

In summary, if you have a painful, red lump, it is crucial to consult with a healthcare professional for a proper diagnosis. If it is determined to be a lipoma or another type of growth that requires removal, surgery is a common and effective treatment option. Always ensure to discuss any concerns you have with your surgeon, including the type of sutures used and the expected recovery process. Taking these steps will help alleviate your anxiety and ensure a smoother surgical experience.

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