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Lipomas are normally removed by simple excision. [27] The removal can often be done under local anesthetic and takes less than 30 minutes. This cures the great majority of cases, with about 1–2% of lipomas recurring after excision. [28] Liposuction is another option if the lipoma is soft and has a small connective tissue component.
Spindle cell lipoma is most frequently located in the upper back, shoulder, or posterior neck subcutaneous layer. [3] Nonetheless, reports of it occurring in the mediastinum, hypopharynx, larynx, anterior neck, suprasellar region, esophagus, nasal vestibule, tongue, floor of mouth, vallecula, parotid gland, and breast have been made. [4]
Removal can include simple excision, endoscopic removal, or liposuction. [ 1 ] Other entities which are accompanied by multiple lipomas include Proteus syndrome , Cowden syndrome and related disorders due to PTEN gene mutations, benign symmetric lipomatosis ( Madelung disease ), Dercum's Disease, familial lipodystrophy , hibernomas , epidural ...
Removal, if desired or warranted, can be done by a dermatologist, a general practitioner, or a similarly trained professional who may use cauterization, cryosurgery, excision, laser, or surgical ligation to remove the acrochorda. [2] [10] Varied home remedies are unsupported by medical evidence. [10]
Histopathologically, ALT/WDL tumors are divided into adipocytic/lipoma-like, sclerosing, and inflammatory variants with adipocyte/lipoma-like being the most common. Adipocytic/lipoma-like ALT/WDL tumors consist of lobules of mature fat cells variably intersected with irregular fibrous septa (see the adjacent H&E stained photomicrograph ).
Benign symmetric lipomatosis, also known as Madelung's disease, is an adult-onset skin condition characterized by extensive symmetric fat deposits in the head, neck, and shoulder girdle area. [1] The symmetrical fat deposits are made of unencapsulated lipomas , which distinguishes it from typical lipomatosis which has encapsulated lipomas that ...
Total excision or liposuction is the appropriate course of action for the management of angiolipomas. [15] After excision, the non-infiltrating subtype typically does not recur. [ 16 ] Wide excision with distinct margins is necessary to reduce the likelihood of recurrence because the infiltrating subtype is linked to a 35% to 50% recurrence rate.
In general, the tumor is an ill-defined, nonencapsulated, rubbery, and firm, white lesion with interspersed fat. The tumors can be quite large (up to 20 cm), although most are around 5 cm. [4]