Treatment of Lipomas

Posted by Dr. Maulik Nanavati on Jul 12, 2018 7:02:10 AM

NON EXCISIONAL TECHNIQUES

Non-excisional treatment of lipomas, which is now common, includes steroid injections and liposuction.

Steroid injections result in local fat atrophy, thus shrinking (or, rarely, eliminating) the lipoma. Injections are best performed on lipomas less than 1 inch in diameter. A one-to-one mixture of 1 percent lidocaine (Xylocaine) and triamcinolone acetonide (Kenalog), in a dosage of 10 mg per Ml, is injected into the center of the lesion. This procedure may be repeated several times at monthly intervals. The volume of steroid depends on the size of the lipoma, with an average of 1 to 3 mL of total volume administered. The number of injections depends on the response, which is expected to occur within three to four weeks. Complications, which are rare, are the result of the medication or the procedure, and can be prevented by injecting the smallest total amount possible and by positioning the needle so that it is in the center of the lipoma.

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Topics: non-excisional, lipoma

Intra-Oral Sub-Mucosal Lipoma in the Mental Nerve Region – A Case Report And Review Of Literature

Posted by Dr. Maulik Nanavati on Jul 12, 2018 6:58:52 AM

The World Health Organization classified lipoma and lipomatous lesions as follows in the year 2002 based on histopathological appearance of the lesions.

BENIGN LIPOMATOUS TUMORS

LIPOMA: A lipoma is a benign tumor composed of mature white adipocytes and is the most common soft tissue mesenchymal neoplasm in adults, usually a circumscribed, non-encapsulated aggregate with clear cytoplasm, absence of vascularity and atypia of metaplasia.

LIPOMATOSIS: (Madelung disease, Launois-Bensaude syndrome): Lipomatosis is a diffuse overgrowth of mature adipose tissue. It occurs in a variety of clinical settings and can affect different anatomic regions of the body. Diffuse lipomatosis usually occurs in individuals under 2 years of age but it may also arise in adults.

ANGIOLIPOMA: A subcutaneous nodule consisting of mature fat cells, intermingled with small and thin-walled vessels, a number if which contain fibrin thrombi. Angiolipomas most frequently present as multiple subcutaneous small nodules, usually tender or painful. There is no correlation between the intensity/occurrence of pain and the degree of vascularity.

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Topics: sub-mucosal, mental, lipoma

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