Subcutaneous Nodules: Are They Lipomas?

Multiple nodules in the abdomen?

Hello, doctor.
I have noticed two to three hard subcutaneous nodules in my abdomen.
The skin appears normal, the nodules are spherical and less than 1 cm in size, and they are neither painful nor itchy.
Could they be lipomas? They have been present for several years, and I recently gave birth, gaining 6 kg since before pregnancy.
The nodules seem to be more prominent now.
Should I seek medical attention for this? Which specialty should I consult? Thank you.

Miss Hsu, 20~29 year old female. Ask Date: 2021/01/22

Dr. Chen Sirong reply Oncology

Ms.
Hsu / 26 years old / Female
1.
Given the duration, it is more likely to be benign.

2.
It does not necessarily need to be treated.

3.
Treatment would involve excision.

4.
You can consult a general surgeon or a plastic surgeon.

Happy New Year! Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2021/01/22

More Info

Subcutaneous nodules can indeed raise concerns, especially when they are new or have changed in size or appearance. Based on your description of the nodules being firm, small (less than 1 cm), non-painful, non-itchy, and having been present for several years, they could potentially be lipomas. Lipomas are benign tumors composed of adipose (fat) tissue and are typically soft, movable, and painless. They are the most common type of soft tissue tumor in adults and are generally harmless.

However, the fact that you mentioned these nodules have become more noticeable after your recent pregnancy and weight gain could warrant further evaluation. Weight fluctuations can sometimes make existing lipomas more prominent, but it’s also important to consider that other types of nodules can occur in the subcutaneous tissue, including cysts, fibromas, or even more serious conditions.
While lipomas are benign, it is always prudent to have any new or changing lumps evaluated by a healthcare professional. If you are concerned about these nodules, it would be advisable to consult with a dermatologist or a general surgeon. Dermatologists specialize in skin conditions and can assess the nodules, while general surgeons can provide further evaluation and treatment options if necessary.

During your visit, the doctor may perform a physical examination and could recommend imaging studies, such as an ultrasound, to better characterize the nodules. In some cases, a biopsy may be necessary to rule out any atypical cells or malignancies, especially if there are any changes in the nodules' characteristics.

In summary, while the nodules you described are likely lipomas, it is essential to seek medical advice to confirm their nature and ensure they do not pose any health risks. Consulting with a dermatologist or general surgeon would be the best course of action. They can provide a thorough evaluation and guide you on whether any treatment is necessary, which may include monitoring, surgical removal, or other interventions if deemed appropriate.

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