Lipomas: Causes and Treatment for Persistent Skin Issues

Lipoma issues

Director Wu developed a lipoma behind the earlobe many years ago, which was nearly resolved after outpatient treatment, but a very small scab remains.
In recent years, another one has formed in the same location (approximately 1 cm).
If left untreated, it accumulates debris over a few days, and an odor can even be detected.
The debris can be expelled through the scab, which then turns into a wound, and the wound becomes a scab again, repeating this cycle day after day.
I would like to ask Director Wu what might be the cause of this.
Thank you for your time and assistance.

Mr. Zhang, 50~59 year old female. Ask Date: 2021/03/03

Dr. Wu Yuxin reply Dermatology

It should not be a lipoma; it's a cyst.
If it's inflamed, treatment should be prioritized.

Reply Date: 2021/03/03

More Info

Lipomas are benign tumors composed of adipose (fat) tissue, and they are generally harmless. They can occur anywhere on the body, including the earlobe, as you have experienced. The fact that you had a lipoma previously that was treated but has since returned suggests that the lipoma may not have been completely excised, or it could be a new growth.
The symptoms you describe, such as the accumulation of debris and the presence of an odor, could indicate that the area is becoming irritated or infected. When a lipoma is not completely removed, it can sometimes lead to the formation of a small cyst or a pocket that can trap oils, dead skin cells, and other debris. This can result in the formation of crusts or scabs, which may become inflamed or infected, leading to the symptoms you are experiencing.

The recurring nature of your lipoma and the associated symptoms may also be influenced by factors such as skin type, hygiene, and possibly underlying conditions that affect skin health. Given your history of skin issues, it is essential to maintain proper skin care in the affected area. Regular cleansing with a gentle, non-irritating cleanser can help prevent the buildup of debris. Additionally, applying a topical antiseptic may help reduce the risk of infection.

If the lipoma continues to cause discomfort or if the symptoms worsen, it is advisable to consult with a dermatologist or a healthcare provider specializing in skin conditions. They can assess the growth and determine whether it is indeed a lipoma or if there are other underlying issues that need to be addressed. In some cases, surgical removal may be recommended, especially if the lipoma is symptomatic or if there is concern about infection.

In summary, while lipomas are generally benign, the symptoms you are experiencing suggest that there may be additional factors at play, such as irritation or infection. Proper skin care and consultation with a healthcare professional are essential steps to manage your condition effectively. Remember that while lipomas themselves are not typically a cause for concern, any changes in the skin or persistent symptoms should be evaluated by a medical professional to ensure appropriate treatment and care.

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