Lipoma
Hello Doctor,
I have a question I would like to ask you.
Since middle school, I have often experienced discomfort in my right flank (around the kidney area, just below the ribs) after eating or exercising.
In my second year of high school (at age 17), I discovered a tumor in that area.
I consulted my family physician, who said it was likely a lipoma and that it was located just beneath the skin.
He advised me to monitor it for any increase in size or impact on my activities.
Recently, at age 24, during a check-up, I noticed that there seems to be another one developing beneath the original, and it has been causing me persistent discomfort.
While it is not extremely painful, it feels quite odd, so I am considering surgery.
Doctor, could the tumor become large enough to compress blood vessels and cause tissue or organ necrosis? What should I do now? If I decide to have surgery, will I need to be hospitalized? If so, how many days would I need to stay? Thank you.
Li, 20~29 year old female. Ask Date: 2005/06/20
Dr. He Zhenming reply Surgery
Hello: Most lipomas are located superficially and rarely cause tissue or organ necrosis.
Generally, outpatient surgery does not require hospitalization.
Wishing you good health.
Reply Date: 2005/06/20
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 just beneath the skin. While most lipomas are asymptomatic and do not require treatment, there are certain circumstances where surgical intervention may be warranted.
Symptoms and Risks
The symptoms associated with lipomas can vary. Many individuals may not experience any symptoms at all, while others may notice a soft, movable lump under the skin. In some cases, if a lipoma grows large enough, it can cause discomfort or pressure on surrounding tissues, which may lead to a sensation of fullness or discomfort in the area where it is located.
In your case, you mentioned experiencing discomfort in the right flank area, which you suspect may be related to the lipoma. While lipomas are not typically known to compress blood vessels or organs, larger lipomas can potentially exert pressure on nearby structures, leading to discomfort or other symptoms. However, it is essential to differentiate between the discomfort caused by the lipoma itself and any other underlying conditions that may be present.
Surgical Options
If a lipoma becomes bothersome, painful, or shows signs of growth, surgical removal is often the recommended course of action. The procedure is usually straightforward and can often be performed on an outpatient basis, meaning you may not need to stay in the hospital overnight. The surgery typically involves making a small incision over the lipoma, removing it, and then closing the incision with stitches.
In terms of recovery, most patients can return to their normal activities within a few days, although it is advisable to avoid strenuous activities for a short period to allow for proper healing. The length of the hospital stay, if required, can vary based on the specific circumstances of the surgery and the patient's overall health, but many lipoma removals are done without the need for hospitalization.
When to Seek Surgery
You should consider discussing surgical options with your healthcare provider if:
1. The lipoma is causing persistent discomfort or pain.
2. There is noticeable growth in size or change in shape.
3. You have concerns about the nature of the lump, as it is essential to rule out other potential conditions.
Conclusion
In summary, while lipomas are generally benign and do not pose significant health risks, your symptoms warrant further evaluation. It is advisable to consult with a surgeon or a specialist who can assess the lipoma and determine the best course of action. If surgery is indicated, they will provide you with detailed information regarding the procedure, recovery time, and any necessary preparations. Always prioritize open communication with your healthcare provider to ensure that you receive the most appropriate care for your situation.
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