Is It a Lipoma? Subcutaneous Lumps During Pregnancy - Surgery

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Is it a lipoma?


Hello doctor, two days ago I felt a small, slightly painful hard lump on the left side of my abdomen, very close to my waist.
It feels firm to the touch, about the size of a red bean.
Today I saw a doctor, and after a physical examination, the doctor said it is superficial and likely a lipoma.
However, I am a bit concerned.
Based on the description above, what is the likelihood that it is a lipoma? P.S.
I consider myself slim, and I am currently five months pregnant, having gained a little weight.

Jie, 20~29 year old female. Ask Date: 2017/08/24

Dr. Chen Jiaming reply Surgery


Without a physical examination, I cannot provide a definitive diagnosis.
The likelihood of a subcutaneous abdominal lesion being a lipoma is indeed high, regardless of body weight! Lipomas are benign lesions, and whether to proceed with surgical removal depends on the patient's preference (as it requires wound care).
If there are concerns about other conditions, surgical excision can be performed for pathological examination.
You may consult with a general surgeon for further evaluation and arrangements.

Reply Date: 2017/08/24

More Info


When it comes to subcutaneous lumps during pregnancy, particularly in your case where a small, painful lump has been identified in the left side of your abdomen, the possibility of it being a lipoma is indeed plausible. Lipomas are benign tumors made up of adipose (fat) tissue and are typically soft, movable, and painless. However, they can sometimes cause discomfort if they press against surrounding tissues or nerves, which might explain the pain you are experiencing.

Given that you are currently five months pregnant, it is important to consider a few factors regarding the lump. First, hormonal changes during pregnancy can lead to various skin and tissue changes, including the development of benign growths like lipomas. While lipomas are common and generally harmless, it is essential to monitor any changes in size, shape, or symptoms associated with the lump.

Your physician's assessment that the lump is superficial and likely a lipoma is a good sign, but if you are feeling uneasy, it is completely reasonable to seek a second opinion or further evaluation. Imaging studies, such as an ultrasound, can provide more information about the characteristics of the lump and help confirm the diagnosis. Ultrasound is particularly useful during pregnancy as it is non-invasive and does not involve radiation.

In terms of treatment, if the lump is indeed a lipoma and is not causing significant discomfort or complications, it may not require any immediate intervention. Many lipomas can be left alone unless they grow larger or become bothersome. Surgical removal is an option if the lump becomes painful or if there is uncertainty about the diagnosis.

It is also worth noting that while lipomas are benign, other types of lumps can occur during pregnancy, including sebaceous cysts, fibromas, or even more concerning conditions. Therefore, if you notice any changes in the lump, such as increased pain, redness, or rapid growth, it is crucial to consult your healthcare provider promptly.

In summary, based on your description, the likelihood of the lump being a lipoma is reasonable, especially considering its characteristics and the context of your pregnancy. However, if you have any lingering concerns, do not hesitate to pursue further evaluation to ensure peace of mind and the health of both you and your baby. Regular check-ups and open communication with your healthcare provider are key to managing any health issues during pregnancy.

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