Lipomas: Surgical Concerns and Malignancy Risks

Q: Lipomas: Surgical Concerns and Malignancy Risks

Hello, Miss： Due to the rapid growth of the tumor, it is recommended that you promptly visit the surgical outpatient clinic for treatment. <br>A local anesthesia procedure is advised for better pathological examination. <br>The Hualien Hospital of the Ministry of Health and Welfa

Lipoma issues and surgical concerns?

Last July, I suddenly noticed a small hard lump on my right upper arm.
After an examination, the doctor diagnosed it as a lipoma measuring 2 centimeters.
Recently, I went for another check-up and found that it has grown to 4 centimeters.
Is it possible for this to become malignant? Additionally, I have never had surgery before and have rarely been injured.
How can I ask the surgeon to determine if I have keloid-prone skin? If so, what should I do post-surgery? Thank you, doctor!

hen hai pa de shang ban zu, 30~39 year old female. Ask Date: 2018/01/12

Dr. Li Qinglong reply Surgery

Hello, Miss: Due to the rapid growth of the tumor, it is recommended that you promptly visit the surgical outpatient clinic for treatment.
A local anesthesia procedure is advised for better pathological examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/01/12

More Info

Lipomas are benign tumors composed of adipose (fat) tissue, and they are generally considered harmless. They can occur anywhere in the body, but are most commonly found on the torso, upper arms, and thighs. The fact that you have a lipoma that has grown from 2 cm to 4 cm in size is not uncommon, as lipomas can gradually increase in size over time. However, it is important to note that lipomas are typically not associated with malignancy, meaning they do not turn into cancerous tumors. The risk of a lipoma becoming malignant is extremely low, and most lipomas remain benign throughout a person's life.

That said, if you notice any changes in the lipoma, such as rapid growth, pain, or changes in texture, it is advisable to consult your healthcare provider. These changes could warrant further investigation to rule out other conditions, including the possibility of a different type of tumor. In rare cases, a lipoma may be confused with a liposarcoma, which is a malignant tumor of adipose tissue. Therefore, if there is any concern, your doctor may recommend imaging studies, such as an ultrasound or MRI, to assess the characteristics of the mass more closely.

Regarding your concern about having a keloid-prone (蟹足腫) condition, this is a type of abnormal scar that can form after an injury or surgery. If you have a history of keloids or if you are concerned about developing them after surgery, it is important to discuss this with your surgeon before the procedure. They can evaluate your risk based on your medical history and any previous surgical outcomes. If you are indeed prone to keloids, your surgeon may take special precautions during the surgery, such as using specific techniques to minimize scarring, or they may suggest post-operative treatments like silicone gel sheets or corticosteroid injections to help prevent keloid formation.

If surgery is deemed necessary for your lipoma, the procedure is typically straightforward and performed under local anesthesia. The surgeon will make an incision over the lipoma and remove it entirely. Post-operative care is crucial, especially if you are at risk for keloids. You should follow your surgeon's instructions regarding wound care, which may include keeping the area clean and dry, avoiding sun exposure, and monitoring for signs of infection. If you notice any unusual changes in the surgical site, such as increased redness, swelling, or pain, it is important to contact your healthcare provider promptly.

In summary, while lipomas are benign and rarely become malignant, any significant changes in size or characteristics should be evaluated by a healthcare professional. If you have concerns about keloid formation, discussing this with your surgeon prior to any surgical intervention is essential. They can provide you with tailored advice and management strategies to minimize the risk of keloids and ensure a smooth recovery. Regular follow-ups after surgery will also help in monitoring your healing process and addressing any concerns that may arise.

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