Lipomas: Concerns About Multiple Growths and Symptoms

Liposarcoma-related issues?

I previously discovered that I have lipomas.
After asking my family, my father mentioned that he also has them, suggesting a hereditary factor.
At that time, I found four lipomas: one in the lower right abdomen, one on my back near the spine, and two on my left forearm.
At the end of May this year, I underwent outpatient surgery to remove the largest one in my lower right abdomen, which was about two centimeters, and it was confirmed to be a lipoma.
However, recently I have experienced occasional sharp pain near my left abdomen around the navel, and upon examination, I found some lumps beneath the skin.
After researching, I found that they closely resemble the description in article #87019.
I am overweight (172 cm / 92 kg) with a waist close to 40 inches, and the lumps I feel are quite deep.
I also recall that during the surgery, the doctor mentioned that my lipomas were located deeper.
Additionally, I have found three more deep lumps in my arms; some are easily palpable beneath the skin, while others have irregular shapes and feel adhered.
I would like to know if these multiple lipomas could potentially worsen or if the lumps beneath my abdomen might not be lipomas.
I also have poor digestion and often experience diarrhea, with my stools being loose.
I apologize for the lengthy message and would appreciate your assessment.

Xiao Yu, 20~29 year old female. Ask Date: 2022/07/08

Dr. Chen Bingze reply Surgery

Hello, it sounds like there is a high likelihood of a lipoma.
Lipomas are generally benign and rarely become malignant.
You can monitor it for any changes in size, and if it increases, you may consider surgical removal.
Additionally, the lipoma is not related to your loose stools; the loose stools are more likely related to your natural constitution or recent gastrointestinal conditions.
I hope this answers your questions!

Reply Date: 2022/07/08

More Info

Lipomas are benign tumors composed of adipose (fat) tissue, and they are generally considered harmless. However, the presence of multiple lipomas, as you described, can raise concerns for both patients and healthcare providers. Let's address your concerns regarding multiple lipomas, their potential for malignancy, and the symptoms you are experiencing.

Understanding Lipomas
1. Nature of Lipomas: Lipomas are soft, movable lumps that can occur anywhere on the body. They are typically painless and slow-growing. The exact cause of lipomas is not fully understood, but genetic factors play a significant role. It is not uncommon for individuals with a family history of lipomas to develop them, as you mentioned about your father.

2. Multiple Lipomas: The presence of multiple lipomas can be classified as familial multiple lipomatosis, a condition where individuals develop numerous lipomas over time. While most lipomas remain benign, the occurrence of multiple lipomas can sometimes be associated with certain genetic syndromes, such as Dercum's disease or Gardner's syndrome, although these conditions are rare.

Concerns About Growth and Symptoms
1. Growth Characteristics: Generally, lipomas grow slowly and do not change significantly in size over time. However, if you notice rapid growth, changes in shape, or if the lipoma becomes painful, it is essential to consult a healthcare provider. In your case, the recent discovery of new lumps and the associated pain near your navel warrant further evaluation.

2. Pain and Discomfort: The stabbing pain you described near your navel could be due to various reasons. While it may be related to the presence of a lipoma, it could also be due to other conditions such as gastrointestinal issues, hernias, or even other types of tumors. Given your history of digestive problems, including diarrhea and loose stools, it is crucial to consider gastrointestinal causes as well.

3. Assessment of New Lumps: The new lumps you found in your abdomen should be evaluated by a healthcare professional. While they may be lipomas, other conditions could mimic their appearance, including cysts or even more serious conditions. A physical examination and possibly imaging studies (like an ultrasound or MRI) would help in determining the nature of these lumps.

When to Seek Medical Attention
- Rapid Growth: If you notice any lipoma growing rapidly or changing in texture, it is advisable to seek medical attention.

- Pain: Persistent or severe pain associated with a lump should be evaluated.

- New Symptoms: Any new symptoms, such as changes in bowel habits or unexplained weight loss, should prompt a visit to your healthcare provider.

Conclusion
In summary, while multiple lipomas are typically benign and may not pose significant health risks, the emergence of new lumps and associated symptoms should not be ignored. It is essential to have a thorough evaluation by a healthcare professional to rule out any serious conditions and to discuss your concerns regarding the potential for malignancy. Regular monitoring and self-examination are also important, especially if you have a family history of lipomas. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and management.

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