Painful Lumps: What to Do About Lipoma-Like Growths - Surgery

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Lipoma-like lesions


I recently developed a hard lump on my shoulder that resembles a lipoma.
Initially, it didn't hurt, but recently it has started to hurt when touched or pressed.
Why is this happening, and how should I address it?

secart, 20~29 year old female. Ask Date: 2001/10/24

Dr. Li Junde reply Surgery


Hello Ms.
Secart: The lump on your shoulder is generally less likely to be painful if it is a lipoma, unless it is located near a nerve and compressing it.
It could also be an infected sebaceous cyst, which would present with redness, swelling, pain, and heat.
Please consult a general surgeon for further examination and treatment.

Reply Date: 2001/10/24

More Info


When it comes to painful lumps that resemble lipomas, it’s essential to understand what these growths are and how to address them. A lipoma is a benign tumor made up of fatty tissue, typically soft, movable, and painless. However, if a lump that was previously painless begins to cause discomfort or pain upon touch, it could indicate several underlying issues that warrant further investigation.

First and foremost, it is crucial to differentiate between a true lipoma and other types of growths. While lipomas are generally harmless, other conditions can present similarly but may require different management. These include sebaceous cysts, fibromas, or even more serious conditions like liposarcomas, which are malignant tumors. The change from a painless to a painful state could suggest inflammation, infection, or changes in the tissue surrounding the lump.

Here are some steps you can take to address the situation:
1. Consult a Healthcare Professional: The first and most important step is to see a healthcare provider. They can perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump. In some cases, a biopsy may be necessary to rule out malignancy.

2. Monitor Symptoms: Keep track of any changes in the lump, such as size, shape, or consistency, as well as any new symptoms like redness, warmth, or drainage. This information can be valuable for your healthcare provider.

3. Pain Management: If the lump is painful, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, this should not replace a medical evaluation.

4. Avoid Manipulation: Try to avoid pressing or manipulating the lump, as this may exacerbate inflammation and pain.
5. Consider Treatment Options: If the lump is confirmed to be a lipoma and is causing discomfort, treatment options may include surgical removal. This is typically a straightforward procedure performed under local anesthesia. If the lump is found to be another type of growth, the treatment will depend on the specific diagnosis.

6. Lifestyle Considerations: While lipomas are not directly linked to lifestyle factors, maintaining a healthy weight and diet can contribute to overall well-being. If you have multiple lipomas, some studies suggest that they may be associated with genetic factors or metabolic conditions.

7. Follow-Up Care: After any treatment, follow-up appointments are essential to ensure that the lump does not return and that any underlying conditions are managed appropriately.

In summary, while a painful lump that resembles a lipoma can be concerning, it is essential to approach the situation with a clear plan. Consulting a healthcare professional is the best course of action to determine the nature of the lump and appropriate treatment options. Early intervention can help prevent complications and ensure that any necessary treatment is provided promptly.

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