The lipoma is a new growth of good-quality character from fatty tissue, most often the lipoma meets in hypodermic cellulose, but can be formed also in internals which have a fatty layer. The disease is diagnosed for people of mature and senile age, persons of both sexes equally are ill. Removal of a lipoma is possible by electrothermic coagulation, methods of radio wave surgery, simple surgical excision or laser influence. The main problem in treatment of lipomas is their retsidivirovaniye.
The lipoma is a new growth of good-quality character from fatty tissue, most often the lipoma meets in hypodermic cellulose, but can be formed also in internals which have a fatty layer. The disease is diagnosed for people of mature and senile age, persons of both sexes equally are ill.
Externally the lipoma looks as soft mobile painless knot which is not soldered to surrounding fabric, the knot sizes on average of 1,5-2 cm, but lipomas of the huge sizes meet. Sometimes the new growth increases or decreases depending on the body weight of the person, but most often its growth does not depend on fluctuations of weight, and even in case of weight loss continues to accumulate in itself fat. If as a part of a lipoma besides fatty tissue there is a connecting fabric, then its consistence becomes more dense.
Lipomas can be single, but generally have multiple character, are localized on a back, in a breast zone, on a humeral zone, is more rare on the lower extremities and on a stomach. The lipoma can arise everywhere where there is a fatty tissue. Often lipomas on a hairy part of the head, on a face and behind ears meet. The new growth is in the capsule, and therefore does not malignizirutsya. With a growth the lipoma does not sprout in surrounding fabrics, and moves apart them that can lead to squeezing of vessels and fabrics, breaking a metabolism.
Classification of lipomas depends on their localization, existence in them of blood vessels and connecting fabric. The ring-shaped lipoma of a neck settles down on a neck circle, at the big size complicates breath and swallowing, can provoke suffocation attacks because of pressure upon airways. If the lipoma settles down in places of squeezing by clothes, for example on a neck or in an axillary hollow, then the tumor can hurt and matserirovatsya.
Subjective complaints and pain are not observed, generally the lipoma is a cosmetic problem, especially if there is a lot of new growths and they settle down on open parts of the body.
Diagnostics is possible, rather external inspection and poll of the patient at which it becomes clear that the new growth arose long ago, grows very slowly and does not cause any discomfort.
Lipomas need to be deleted at the expressed cosmetic defect, at complaints to its pressure, the ring-shaped lipoma is subject to removal too. If the lipoma has the big sizes and by that squeezes fabrics, then its removal allows to prevent violations in fabrics which are exposed to pressure.
Removal of a lipoma the laser or its electrothermic coagulation is possible. For removal of a lipoma resort also to radio wave surgery. At the same time there is no scar left, operation is made under local anesthesia and full healing occurs for 4-5 day. Working ability of the patient is not broken, postoperative complications in the form of hypostases and suppurations meet in rare instances. In some cases surgical excision of a lipoma is required. Thus after removal the histologic research of remote material is surely carried out.
Punktsionno-aspiratsionny the method of removal of a lipoma consists in introduction to a needle tumor with a wide gleam and at a distance contents an electrosuction. Advantages of a technique are that suture and bandages is not required, and the patient in day of operation can come back home, but as at this method the capsule is not removed, the remains of a small amount of contents can lead to a recurrence. Efficiency depends only on qualification of the doctor.
The forecast at lipomas favorable, but even after their removal a lipoma can arise on other site of skin or on the place of a remote lipoma again if there was even an insignificant quantity of a tumor.