Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- massa cutânea <5 cm de diâmetro
- massa cutânea macia
- massa cutânea móvel
- massa cutânea superficial
Other diagnostic factors
- massa cutânea indolor
- obstrução gastrointestinal
- hemorragia digestiva
Risk factors
- predisposição genética
- trauma
- consumo excessivo de bebidas alcoólicas
Diagnostic investigations
Investigations to consider
- ultrassonografia
- RNM
- Tomografia computadorizada (TC)
- biópsia percutânea com agulha grossa
- biópsia incisional
- biópsia excisional
- estudo do trato gastrointestinal superior com contraste
- endoscopia digestiva
Treatment algorithm
lipoma cutâneo superficial no tronco ou membro
doença de Dercum
lipoma gastrointestinal sintomático
lipomas em locais atípicos
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
William Tseng , MD
Associate Professor of Surgery
City of Hope National Medical Center
Duarte
CA
Disclosures
WT declares that he has no competing interests.
References
Key articles
Primary Care Dermatology Society. Lipoma. Nov 2021 [internet publication].Full text
Noebauer-Huhmann IM, Weber MA, Lalam RK, et al. Soft tissue tumors in adults: ESSR-approved guidelines for diagnostic imaging. Semin Musculoskelet Radiol. 2015 Dec;19(5):475-82. Abstract
National Institute for Health and Care Excellence. Surgical site infections: prevention and treatment. Aug 2020 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Lipossarcoma
- Cisto epidermoide
- Abscesso
More DifferentialsGuidelines
- Soft tissue masses
- Clinical guidance: lipoma
More GuidelinesVideos
Demonstração animada de uma injeção intradérmica
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