Y5 - Lipoma Flashcards

1
Q

def

A

a slow growing benign tumour of fatty tissue

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2
Q

do lipomas have well defined or poorly defined edges

A

well defined by a thin fibrous capsule

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3
Q

where do lipomas occur

A

in the subcutaneous tissue, commonly in the trunk and proximal limbs

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4
Q

do lipomas have malignant potential

A

no.

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5
Q

what is a DDx for lipoma

A

liposarcomas (malignant potential)

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6
Q

epi

A

common

increases with age

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7
Q

what can causes of lipoma be split into

A

1 idiopathic

2 genetics

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8
Q

what are common genetic causes of lipomas

A
familial multiple limatosis
Gardners syndrome
Madelungs disease
Dercums disease
MEN1
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9
Q

what is gardners syndrome

A

variant of FAP

GI polyps, oestomas, lipomas

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10
Q

what is madelungs disease

A

symmetric lipomatosis with symmetrical growth of lipomas around head, neck, shoulders
associated with alcoholism

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11
Q

what is dercums disease

A

adiposis dolorosa

middle aged women with painful lipomas on the trunk and limbs

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12
Q

risk factors

A

familial multiple lipomatosis

gardners syndrome

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13
Q

how large are lipomas

A

<5cm

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14
Q

how large are liposarcomas

A

> 5cm

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15
Q

history

A

commonly a superficial painless mass <5cm which is soft and mobile

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16
Q

what might a solid mass indicate

A

a liposarcoma

17
Q

investigations

A

commonly a clinical diagnosis
investigations are used to exclude malignant mass
1 imaging (MRI or CT)
-well defined, encapsulated homogeneous mass
2 biopsy

18
Q

when should a mass be imaged

A

> 3cm
appears deeper than superficial fascia
feels solid rather than smooth

19
Q

when should a mass be biopsied

A

mass is growing, symptomatic, solid rather than soft

20
Q

what is the preferred biopsy

A

core needle biopsy