Lipomas: Do They Grow or Shrink After Surgery?

Do I have a lipoma?

One day I noticed a lump on my labia, and the doctor said I have a lipoma.
He asked me to return for a follow-up next month, mentioning that it might grow larger or possibly shrink and disappear over time.
Is this true? (But I heard from others that it can only grow larger and won't shrink.) Also, if I undergo surgery, will it prevent it from growing back?

Wu Anqi, 20~29 year old female. Ask Date: 2001/09/04

Dr. Xu Junzheng reply Obstetrics and Gynecology

The likelihood of a lipoma occurring on the labia is not high.
It is recommended to consult another physician for a definitive diagnosis.
Thank you.

Reply Date: 2001/09/04

More Info

Lipomas, which are benign tumors composed of adipose (fat) tissue, are relatively common and can occur in various parts of the body, including the labia. Your doctor’s advice about the potential for lipomas to grow or shrink is accurate. Lipomas can indeed vary in size; some may remain stable, while others can grow over time. In some cases, they may even shrink or resolve on their own, although this is less common.

When it comes to surgical intervention, the primary goal is to remove the lipoma completely. If the lipoma is excised properly, the likelihood of it returning in the same location is low. However, it is important to note that new lipomas can develop in other areas of the body, as the tendency to form lipomas can be influenced by genetic factors. Therefore, while surgery can effectively remove the existing lipoma, it does not prevent the formation of new ones.

Regarding your concern about whether lipomas can shrink after surgery, it is generally understood that once a lipoma is surgically removed, it should not grow back. However, if the lipoma is not completely excised, there is a possibility that it could recur. This is why it is crucial for the surgeon to ensure that the entire lipoma is removed during the procedure.

In terms of post-operative care, it is essential to follow your surgeon's instructions to promote healing and minimize complications. This may include keeping the surgical site clean, avoiding strenuous activities, and monitoring for signs of infection or unusual changes in the area. If you notice any new lumps or changes in the area after surgery, it is advisable to consult your healthcare provider for further evaluation.

In summary, lipomas can grow or shrink, but surgical removal is typically effective in eliminating them. While surgery reduces the chance of recurrence at the same site, it does not eliminate the possibility of developing new lipomas elsewhere. If you have any further questions or concerns about your specific situation, it is always best to discuss them with your healthcare provider, who can provide personalized advice based on your medical history and condition.

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