Lipomas are very common, benign, and usually solitary, but some patients have multiple lipomas. Common sites are the proximal extremities, trunk, and neck. Multiple lipomas can be familial and/or associated with various syndromes (eg, genetic disorders).
Lipomas are usually asymptomatic but can be tender or painful. A lipoma is usually easily movable within the subcutis. Lipomas are generally soft, but some become firmer.
Diagnosis of Lipomas
Clinical evaluation
Diagnosis of lipomas is usually clinical, but a rapidly growing lesion should be biopsied.
Treatment of Lipomas
Excision or liposuction if bothersome
Treatment is not usually required, but bothersome lipomas may be removed by excision or liposuction.