Outcome and Prognosis
The outcome and prognosis are excellent for benign lipomas. Recurrence is uncommon, it may happen if the excision was incomplete.
Future and Controversies
Liposuction may be employed more often in small facial lipomas, because favorable aesthetic results have been obtained through strategically placed incisions. Liposuction is indicated for the treatment of medium (ie, 4-10 cm) and large (ie, >10 cm) lipomas; in small lipomas, no advantage has been reported, because these tumors can be extracted through small incisions.13,14,15,16
Lipoma formation has been reported as an unusual complication of liposuction and has also been found to occur following trauma.1,18 The mechanism in these cases is unknown. Research on genetic markers of atypical lipomatous tumors and liposarcomas is ongoing. These tumors have been shown to express receptors for leptin.19
We wish to thank Carol EH Scott-Conner, MD, PhD, Professor, Department of Surgery, University of Iowa College of Medicine, for her contributions to this article.
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References
Signorini M, Campiglio GL. Posttraumatic lipomas: where do they really come from?. Plast Reconstr Surg. Mar 1998;101(3):699-705. [Medline].
Italiano A, Ebran N, Attias R, et al. NFIB rearrangement in superficial, retroperitoneal, and colonic lipomas with aberrations involving chromosome band 9p22. Genes Chromosomes Cancer. Nov 2008;47(11):971-7. [Medline].
Chiang JM, Lin YS. Tumor spectrum of adult intussusception. J Surg Oncol. Nov 1 2008;98(6):444-7. [Medline].
Sakurai H, Kaji M, Yamazaki K, et al. Intrathoracic lipomas: their clinicopathological behaviors are not as straightforward as expected. Ann Thorac Surg. Jul 2008;86(1):261-5. [Medline].
Koyanagi I, Hida K, Iwasaki Y, et al. Radiological findings and clinical course of conus lipoma: implications for surgical treatment. Neurosurgery. Sep 2008;63(3):546-51; discussion 551-2. [Medline].
Einarsdottir H, Soderlund V, Larsson O. 110 subfascial lipomatous tumors. MR and CT findings versus histopathological diagnosis and cytogenetic analysis. Acta Radiol. Nov 1999;40(6):603-9. [Medline].
Bakshi R, Shaikh ZA, Kamran S. MRI findings in 32 consecutive lipomas using conventional and advanced sequences. J Neuroimaging. Jul 1999;9(3):134-40. [Medline].
Matsumoto K, Hukuda S, Ishizawa M. MRI findings in intramuscular lipomas. Skeletal Radiol. Mar 1999;28(3):145-52. [Medline].
Reiseter T, Nordshus T, Borthne A. Lipoblastoma: MRI appearances of a rare paediatric soft tissue tumour. Pediatr Radiol. Jul 1999;29(7):542-5. [Medline].
Lee TJ, Collins J. MR imaging evaluation of disorders of the chest wall. Magn Reson Imaging Clin N Am. May 2008;16(2):355-79, x. [Medline].
Einarsdottir H, Soderlund V, Larson O. MR imaging of lipoma and liposarcoma. Acta Radiol. Jan 1999;40(1):64-8. [Medline].
Araki Y, Isomoto H, Tsuji Y. Endoscopic removal with clipping for colonic lipomas. Kurume Med J. 1998;45(4):341-3. [Medline].
Al-basti HA, El-Khatib HA. The use of suction-assisted surgical extraction of moderate and large lipomas: long-term follow-up. Aesthetic Plast Surg. Mar-Apr 2002;26(2):114-7. [Medline].
Berenguer B, de la Cruz L, de la Plaza R. Liposuction in atypical cases. Aesthetic Plast Surg. Jan-Feb 2000;24(1):13-21. [Medline].
Ilhan H, Tokar B. Liposuction of a pediatric giant superficial lipoma. J Pediatr Surg. May 2002;37(5):796-8. [Medline].
Wilhelmi BJ, Blackwell SJ, Mancoll JS. Another indication for liposuction: small facial lipomas. Plast Reconstr Surg. Jun 1999;103(7):1864-7. [Medline].
Saray A, Ocal K, Berberoglu M, et al. Endoscopic balloon dissection for removal of lipomas via transaxillary route. Aesthetic Plast Surg. Nov-Dec 2001;25(6):463-7. [Medline].
Abner ML. Lipoma of the abdomen after suction lipectomy. Plast Reconstr Surg. Jan 2001;107(1):293. [Medline].
Oliveira AM, Nascimento AG, Lloyd RV. Leptin and leptin receptor mRNA are widely expressed in tumors of adipocytic differentiation. Mod Pathol. Jun 2001;14(6):549-55. [Medline]. [Full Text].
Alberti D, Grazioli L, Orizio P. Asymptomatic giant gastric lipoma: what to do?. Am J Gastroenterol. Dec 1999;94(12):3634-7. [Medline].
Azumi N, Curtis J, Kempson RL, et al. Atypical and malignant neoplasms showing lipomatous differentiation. A study of 111 cases. Am J Surg Pathol. Mar 1987;11(3):161-83. [Medline].
Bassett MD, Schuetze SM, Disteche C, et al. Deep-seated, well differentiated lipomatous tumors of the chest wall and extremities: the role of cytogenetics in classification and prognostication. Cancer. Jan 15 2005;103(2):409-16. [Medline]. [Full Text].
Buttner A. Lipoma of the adrenal gland. Pathol Int. Nov 1999;49(11):1007-9. [Medline].
Carilli S, Alper A, Emre A. Inguinal cord lipomas. Hernia. Aug 2004;8(3):252-4. [Medline].
Corbi P, Boufi M, Thierry G. Giant pleural lipoma. Eur J Cardiothorac Surg. Aug 1999;16(2):249-50. [Medline]. [Full Text].
Cribb GL, Cool WP, Ford DJ, et al. Giant lipomatous tumours of the hand and forearm. J Hand Surg [Br]. Oct 2005;30(5):509-12. [Medline].
Einarsdottir H, Skoog L, Soderlund V, et al. Accuracy of cytology for diagnosis of lipomatous tumors: comparison with magnetic resonance and computed tomography findings in 175 cases. Acta Radiol. Dec 2004;45(8):840-6. [Medline].
Fernandez-Flores A, Juanes F. Value of cytological imprints in the diagnosis of atypical lipomatous tumor. Diagn Cytopathol. Jan 2005;32(1):51-2. [Medline].
Fukushima KK, Mitani T, Hashimoto K. Ventricular tachycardia in a patient with cardiac lipoma. J Cardiovasc Electrophysiol. Aug 1999;10(8):1161. [Medline].
Furlong MA, Fanburg-Smith JC, Miettinen M. The morphologic spectrum of hibernoma: a clinicopathologic study of 170 cases. Am J Surg Pathol. Jun 2001;25(6):809-14. [Medline].
Gersin KS, Heniford BT, Garcia-Ruiz A. Missed lipoma of the spermatic cord. A pitfall of transabdominal preperitoneal laparoscopic hernia repair. Surg Endosc. Jun 1999;13(6):585-7. [Medline].
Hizawa K, Kawasaki M, Kouzuki T. Unroofing technique for the endoscopic resection of a large duodenal lipoma. Gastrointest Endosc. Mar 1999;49(3 Pt 1):391-2. [Medline].
Kamiyoshihara M, Kawashima O, Ishikawa S. [Retroperitoneal lipoma through the foramen of Bochdalek detected as a mass of chest roentgenogram: report of a case]. Kyobu Geka. Dec 1999;52(13):1141-3. [Medline].
Kaniklides C, Frykberg T, Lundkvist K. Paediatric mesenteric lipoma, an unusual cause of repeated abdominal pain. A case report. Acta Radiol. Nov 1998;39(6):695-7. [Medline].
Kooby DA, Antonescu CR, Brennan MF, et al. Atypical lipomatous tumor/well-differentiated liposarcoma of the extremity and trunk wall: importance of histological subtype with treatment recommendations. Ann Surg Oncol. Jan 2004;11(1):78-84. [Medline]. [Full Text].
Lam KY, Lo CY. Teratoma in the region of adrenal gland: a unique entity masquerading as lipomatous adrenal tumor. Surgery. Jul 1999;126(1):90-4. [Medline].
Nilsson M, Domanski H, Mertens F, et al. Atypical lipomatous tumor with rare structural rearrangements involving chromosomes 8 and 12. Oncol Rep. Apr 2005;13(4):649-52. [Medline].
Ogilvie CM, Torbert JT, Hosalkar HS, et al. Recurrence and bleeding in hibernomas. Clin Orthop Relat Res. Sep 2005;438:137-43. [Medline].
Pereira JA, Schonauer F. Lipoma extraction via small remote incisions. Br J Plast Surg. Jan 2001;54(1):25-7. [Medline].
Raju GS, Gomez G. Endoloop ligation of a large colonic lipoma: a novel technique. Gastrointest Endosc. Dec 2005;62(6):988-90. [Medline].
Raymond GS, Barrie JR. Endobronchial lipoma: helical CT diagnosis. AJR Am J Roentgenol. Dec 1999;173(6):1716. [Medline].
Salasche SJ, McCollough ML, Angeloni VL. Frontalis-associated lipoma of the forehead. J Am Acad Dermatol. Mar 1989;20(3):462-8. [Medline].
Samad L, Ali M, Ramzi H. Respiratory distress in a child caused by lipoma of the esophagus. J Pediatr Surg. Oct 1999;34(10):1537-8. [Medline].
Sarioglu AC, Kaynar MY, Hanci M. Sylvian fissure lipomas: case reports and review of the literature. Br J Neurosurg. Aug 1999;13(4):386-8. [Medline].
Skubitz KM, Cheng EY, Clohisy DR, et al. Differential gene expression in liposarcoma, lipoma, and adipose tissue. Cancer Invest. 2005;23(2):105-18. [Medline].
Sommerville SM, Patton JT, Luscombe JC, et al. Clinical outcomes of deep atypical lipomas (well-differentiated lipoma-like liposarcomas) of the extremities. ANZ J Surg. Sep 2005;75(9):803-6. [Medline].
Trabut JB, Duong Van Huyen JP, Artru B. [Intravascular lipoma of the superior vena cava]. Ann Pathol. Dec 1999;19(6):529-31. [Medline].
van Heel DA, Panos MZ. Colonoscopic appearances and diagnosis of intussusception due to large bowel lipoma. Endoscopy. Aug 1999;31(6):508. [Medline].
Weiss SW. Lipomatous tumors. Monogr Pathol. 1996;38:207-39. [Medline].
Further Reading
Keywords
lipoma, lipomas, liposuction, liposarcoma, fatty tumor, fatty tumors, lipoma removal, angiolipoma, lipomatous, pseudolipoma, teratoma, adenolipomas, hamartoma, cardiac lipomas, soft-tissue tumor, benign tumors of fatty tissue, benign small neoplasms, submucosal tumors of adipose tissue, duodenal lipomas, colonic lipomas, lipoblastomas, hibernomas, esophageal lipomas, intussusception, intestinal lipomas, intestinal obstruction, intramuscular lipoma, pediatric lipoblastomas, benign mesenchymal tumors, lipomas of the lung, breast lipomas, subcutaneous lipomas, lipomas of the vulva, frontalis-associated subfascial lipoma
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