Summary
Definition
History and exam
Key diagnostic factors
- presence of risk factors
- cutaneous mass <5 cm diameter
- soft cutaneous mass
- mobile cutaneous mass
- superficial cutaneous mass
Other diagnostic factors
- painless cutaneous mass
- gastrointestinal obstruction
- gastrointestinal bleeding
- abdominal mass
- muscle weakness
- paraesthesia
Risk factors
- genetic predisposition
- trauma
- heavy alcohol consumption
Diagnostic investigations
Investigations to consider
- MRI
- CT scan
- ultrasound
- core needle biopsy
- incisional biopsy
- excisional biopsy
- upper gastrointestinal contrast study
Treatment algorithm
superficial cutaneous lipoma on trunk or extremity
Dercum's disease
retroperitoneal lipomatous mass
symptomatic gastrointestinal lipoma
lipoma in atypical site
Contributors
Authors
Kimberly Moore Dalal, MD
Medical Director, Surgical Oncology
General Surgery
Mills-Peninsula Hospital
Palo Alto Medical Foundation
Burlingame
CA
Disclosures
KMD is an author of a number of references cited in this topic.
Steven D. DeMartini, MD
Staff Pathologist
Oroville Hospital
Oroville
CA
Disclosures
SDD declares that he has no competing interests.
Peer reviewers
Jason Gold, MD
Staff Surgeon
VA Boston Healthcare System
West Roxbury
Assistant Professor of Surgery
Harvard Medical School (Brigham and Women's Hospital)
Boston
MA
Disclosures
JG declares that he has no competing interests.
Andrew D. Lee, MD
Resident
Department of Dermatology
Wake Forest University School of Medicine
Winston-Salem
NC
Disclosures
ADL declares that he has no competing interests.
Chandrakanth Are, MD
Assistant Professor
Surgical Oncology
Department of Surgery
University of Nebraska Medical Center
Omaha
NE
Disclosures
CA declares that he has no competing interests.
Clifford Cho, MD
Assistant Professor
Department of Surgery
Section of Surgical Oncology
University of Wisconsin School of Medicine and Public Health
Madison
WI
Disclosures
CC declares that he has no competing interests.
Differentials
- Liposarcoma
- Epidermoid cyst
- Abscess
More DifferentialsGuidelines
- Surgical site infections: prevention and treatment
- Clinical guidance: lipoma
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