Lipomas: What You Need to Know About This Common Condition

Could you please provide more details about your questions regarding lipomas?

What is a lipoma? My sister has a hard lump on the right side of her chest (which she has had since her student days, and she is now 26 years old).
After undergoing an examination, it was diagnosed as a lipoma.
In April of this year, she had imaging done, and the result indicated a 2% risk.
However, after reviewing the report again in mid-September, the risk increased to 4%.
The doctor has suggested surgery for my sister, but my mother is generally opposed to surgeries.
I also have mitral valve prolapse (which I have been experiencing symptoms from and am still on medication for), and my mother is very against us taking Western medicine.
Since I am unclear about the implications of this condition, I would like to ask for your guidance.
Thank you...
and I wish you well...

Youyou, 20~29 year old female. Ask Date: 2001/09/26

Dr. Lin Shuilong reply Surgery

(1) May I ask what the background of the physician you are looking for is? Are they a breast surgeon or a general surgeon, and what type of examination are you referring to? Is it a mammogram with a 2% index, an ultrasound examination, or a breast imaging study? (2) According to your description, there is a hard lump on the right side of your breast.
Is it located on the surface of the skin or within the breast tissue? The symptoms and location description are not clear enough, so I recommend that you consult a breast surgeon for further evaluation.

Reply Date: 2001/09/26

More Info

Lipomas are benign tumors composed primarily of adipose (fat) tissue. They are among the most common soft tissue tumors found in adults and can occur anywhere in the body where fat cells are present. Typically, lipomas are slow-growing, painless, and soft to the touch, often described as feeling like a "rubbery" lump under the skin. They can vary in size, from a few millimeters to several centimeters in diameter, and are usually found on the trunk, arms, thighs, or neck.
In your sister's case, the lump in her right breast that has been present since her student days is likely a lipoma, especially since it has been confirmed through medical examination. The fact that it has been stable for many years is a good sign, as lipomas generally do not transform into malignant tumors. However, it is essential to monitor any changes in size, shape, or symptoms associated with the lump.

The increase in the percentage you mentioned (from 2% to 4%) likely refers to the radiological assessment of the lipoma, possibly indicating a change in its characteristics or the degree of suspicion for malignancy. It is crucial to understand that while lipomas are benign, any significant changes in their appearance or symptoms warrant further evaluation.
Your mother's concerns about surgery are understandable, especially if the lump has not caused any discomfort or health issues. Surgical removal of a lipoma is typically recommended if it becomes painful, grows rapidly, or if there is uncertainty about the diagnosis. The procedure is usually straightforward and can often be done on an outpatient basis under local anesthesia.
Regarding your own health concerns with mitral valve prolapse, it is essential to manage this condition with the guidance of a healthcare provider. Mitral valve prolapse can lead to complications such as mitral regurgitation, which may require monitoring and, in some cases, intervention. It is vital to communicate openly with your healthcare provider about your concerns regarding medications and treatment options.

In summary, lipomas are generally harmless, and if your sister's lipoma is not causing any symptoms, it may be reasonable to monitor it rather than pursue surgery immediately. However, if there are any changes or new symptoms, it is essential to consult with a healthcare professional. It is also advisable to have regular check-ups to ensure that both your sister's and your own health conditions are managed appropriately. Always prioritize open communication with healthcare providers to make informed decisions about treatment options that align with your family's values and preferences.

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