Do I Need Surgery for a Growing Lipoma on My Thigh? - Surgery

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Lipoma issues


I have a lipoma on the back of my thigh that has been there for several years.
It has never been painful and does not affect my daily life, but it seems to have grown larger than a few years ago, now about 5 to 6 centimeters.
Do I need surgery for this? What is the current procedure for lipoma removal? Is it covered by health insurance? Thank you!

Xiao Qiang, 30~39 year old female. Ask Date: 2012/05/20

Dr. Zai Yunsheng reply Surgery


Please first visit the outpatient clinic to determine the size and location of the tumor.
The surgical method may vary, and the anesthesia will also differ.
All surgeries are covered by health insurance.

Reply Date: 2012/05/20

More Info


When considering whether to undergo surgery for a growing lipoma, particularly one located on the thigh, there are several factors to take into account. A lipoma is a benign tumor made up of fat tissue, and while they are generally harmless, their growth can lead to concerns about whether surgical intervention is necessary.

1. Size and Growth: You mentioned that your lipoma has been present for several years and has recently grown to approximately 5-6 cm. While lipomas can be asymptomatic and may not cause pain or discomfort, significant growth can warrant further evaluation. In general, if a lipoma increases in size, especially if it doubles in size over a short period, it is advisable to consult with a healthcare provider. This is to rule out any other potential issues, as rapid growth can sometimes be a sign of a more serious condition.

2. Symptoms and Impact on Daily Life: Since you indicated that the lipoma does not currently affect your daily activities or cause pain, surgery may not be immediately necessary. However, if the lipoma begins to cause discomfort, restrict movement, or affect your quality of life, surgical removal may be recommended.
3. Surgical Options: If surgery is deemed necessary, the procedure for removing a lipoma is typically straightforward. It is usually performed as an outpatient procedure, meaning you can go home the same day. The surgeon will make an incision over the lipoma, remove it, and then close the incision with stitches. The procedure can often be done under local anesthesia, which numbs the area around the lipoma, or under general anesthesia, depending on the size and location of the lipoma, as well as your personal preference and the surgeon's recommendation.

4. Health Insurance Coverage: In terms of health insurance coverage, many insurance plans do cover the removal of lipomas, especially if they are symptomatic or growing. However, coverage can vary based on the specific policy and the medical necessity of the procedure. It is advisable to check with your insurance provider to understand what is covered under your plan.

5. Consultation with a Specialist: Ultimately, the best course of action is to consult with a healthcare provider, preferably a dermatologist or a surgeon specializing in soft tissue tumors. They can assess the lipoma, discuss the potential risks and benefits of surgery, and help you make an informed decision based on your specific situation.

In summary, while surgery for a lipoma is not always necessary, especially if it is asymptomatic and stable, significant growth or changes in symptoms should prompt a thorough evaluation. Consulting with a healthcare professional will provide clarity on whether surgical intervention is appropriate and what the procedure entails.

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