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Case 130: Subcutaneous lump

1. What is the diagnosis?

A simple lipoma

2. What are the options for treatment?

Lesions superficial to the deep fascia and less than 5 cm's in size are almost always benign and many of these can be left alone if the patient is happy.

Larger lesions and those deep to the deep fascia should alarm the surgeon to possible sarcoma. These should be imaged and referred to a sarcoma surgeon for careful consideration of preoperative biopsy and possible neoadjuvant radiotherapy +/- wide excision.

Not all fatty lumps are lipomas.

In this case the patient noticed that the lesion was growing and was concerned, the lesion was superficial and less than 5cm's. therefore they should be offered excision.

dermnet - lipoma