Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- massa cutânea <5 cm de diâmetro
- massa cutânea macia
- massa cutânea móvel
- massa cutânea superficial
Outros fatores diagnósticos
- massa cutânea indolor
- obstrução gastrointestinal
- hemorragia digestiva
Fatores de risco
- predisposição genética
- trauma
- consumo excessivo de bebidas alcoólicas
Investigações diagnósticas
Investigações a serem consideradas
- ultrassonografia
- RNM
- Tomografia computadorizada (TC)
- biópsia percutânea com agulha grossa
- biópsia incisional
- biópsia excisional
- estudo do trato gastrointestinal superior com contraste
- endoscopia digestiva
Algoritmo de tratamento
lipoma cutâneo superficial no tronco ou membro
doença de Dercum
lipoma gastrointestinal sintomático
lipomas em locais atípicos
Colaboradores
Autores
Kimberly Moore Dalal, MD
Medical Director, Surgical Oncology
General Surgery
Mills-Peninsula Hospital
Palo Alto Medical Foundation
Burlingame
CA
Declarações
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.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
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.

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