Lipomas: Is Pain Normal and What to Watch For? - Oncology

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Minor issue?


Hello, Doctor: I have a small question to ask you! There is a hard lump about one centimeter in diameter on the right side of my abdomen, and it has been there for at least a year.
I previously visited a small dermatology clinic, and the doctor said it was a lipoma, similar to a mole, and that I shouldn't worry.
However, sometimes I experience a slight stabbing pain, but it doesn't hurt when I press on it! I'm not sure if there is still a problem! (P.S.
I have read in biology and microbiology that tumor genes may be present in everyone...
caused by infections (e.g., flu virus)...
and that when the immune system is weaker, cells may continuously transcribe and translate, leading to proliferation)...
I also do not smoke or drink alcohol, which are potential mutagenic factors...
So I would like to ask, if it is a lipoma, is it normal to have occasional slight stabbing pain? (It seems like the lump remains a constant size)...
What kind of diet should I pay attention to? (Aside from not consuming sausages (nitrites) with yogurt)...
Thank you for your response.

aa, 20~29 year old female. Ask Date: 2007/01/31

Dr. Fan Sheng reply Oncology


Dear Tony: I suggest you go see a surgeon to have that little thing removed.
It will be a one-time solution, wouldn't that be great? As for your diet, there has been a lot of discussion in magazines, television, and online in recent years.
My advice is to just eat as your mother instructed you!

Reply Date: 2007/01/31

More Info


When it comes to understanding lipomas, it's important to first clarify what they are. Lipomas are benign tumors made up of fat tissue. They are typically soft, movable, and painless, and they can occur anywhere in the body, including the abdomen, arms, and thighs. The size of a lipoma can vary, but they are generally small, often measuring less than 2 inches in diameter. In your case, the lipoma you described is about 1 cm in diameter, which is quite typical.

Regarding your concern about the occasional sharp pain or discomfort associated with the lipoma, it is not uncommon for individuals to experience some sensations in or around a lipoma, even if it is benign. The sharp pain you feel could be due to a few reasons:
1. Nerve Irritation: If the lipoma is located near a nerve, it may cause intermittent pain or discomfort. This is especially true if the lipoma is pressing against a nerve or if there is any inflammation in the surrounding tissue.

2. Increased Sensitivity: Sometimes, the skin overlying a lipoma can become sensitive, leading to sensations of pain or discomfort when touched or pressed.

3. Muscle Strain: If the lipoma is located near a muscle, any strain or movement in that area could lead to discomfort that might be perceived as coming from the lipoma itself.

4. Psychological Factors: Anxiety or concern about the growth can also heighten your awareness of sensations in that area, leading to perceived pain.

In general, if the lipoma remains the same size and does not change in appearance, it is usually not a cause for concern. However, you should monitor it for any changes, such as:
- Rapid growth
- Changes in shape or color
- Pain that becomes persistent or severe
- Any new symptoms that arise
If you notice any of these changes, it would be wise to consult a healthcare professional for further evaluation. While lipomas are benign, other types of tumors can mimic their appearance, and it's crucial to rule out any serious conditions.

As for dietary considerations, there is no specific diet that has been proven to prevent or treat lipomas. However, maintaining a healthy lifestyle can contribute to overall well-being. Here are some general tips:
- Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. This can help maintain a healthy weight and overall health.

- Limit Processed Foods: Try to reduce your intake of processed foods, which can be high in unhealthy fats and sugars.

- Stay Hydrated: Drink plenty of water throughout the day.

- Regular Exercise: Engage in regular physical activity to help maintain a healthy weight and improve circulation.

Lastly, regarding your mention of tumor genes and viral infections, while certain viruses can lead to tumors, lipomas are generally not associated with viral infections. They are more likely related to genetic factors and can occur without any identifiable cause.
In conclusion, while occasional sharp pain from a lipoma can be normal, it is essential to keep an eye on any changes and consult a healthcare provider if you have concerns. Maintaining a healthy lifestyle can contribute to your overall health, but specific dietary changes are not necessary for managing a lipoma. If you have any further questions or concerns, don't hesitate to reach out to a medical professional.

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