lipoma

Introduction

Introduction Lipoma is a benign tumor composed of mature adipose tissue. It can occur at any age and can occur in any part of the body where adipose tissue is present. It usually occurs under the skin and is most common in the limbs and abdomen. Clinical diagnosis should be differentiated from invasive lipoma and liposarcoma. Conservative treatment can resolve smaller lipomas. Regular diet and good breakfast are extremely important for patients with lipoma. If you do not eat breakfast, it can stimulate lipoma or enlarge and increase the original tumor, so it is best to eat food containing vegetable oil for breakfast.

Cause

Cause

First, excessive drinking, often eating fat, animal internal organs, scaleless fish or egg yolk and other people. Because eating too much fatty products, high cholesterol food, can cause spleen and stomach damp heat, phlegm and endogenous, transport disorders, that is, too much new fat tissue, so that the body's excessive fat cells are heterogeneous, hard. The principle of treatment is: antipyretic dehumidification, spleen and stomach, soft and firm.

Second, the work pressure is too large, the mood is irritating, often angry people. Because of liver qi stagnation, poor blood and meridians, the normal adipose tissue and blood can be intertwined, and connective tissue can be wrapped into fat cells for a long time to form lipoma. The principle of treatment: Shugan qi, blood circulation, soft and firm. Through the treatment to open the meridians, dredge the menstrual blood, dissipate the lipoma.

Third, often stay up all night, people who want too many problems. Because the spleen and stomach are injured, the spleen loses health, and the yin and yang are dysfunctional, so that the body's ability to decompose fat is reduced, and the original fat tissue and newborn fat can not be properly arranged, forming abnormal fat tissue, that is, "lipoma", treatment principle : Replenishing qi and strengthening the spleen, regulating the balance of yin and yang, soft and firm.

Examine

an examination

Related inspection

Angiographic immunopathology

Lipoma can occur anywhere in the body where adipose tissue is present, usually in the skin, and is most common in the limbs and abdomen.

Tumors are usually multiple, a few are single-shot, with clear boundaries, tough texture, and lobulated. It has no adhesion to the surroundings and can be pushed under the skin. Since there is a fibrous band between the tumor and the skin, the skin may have an orange peel-like change when the mass is pushed. In addition to local tumors, there are usually no symptoms or mild pain, and no dysfunction. In addition to subcutaneous, lipoma can also occur in muscle compartments, deep muscles, and retroperitoneal areas. Subcutaneous lipoma usually has a weak fibrous envelope, while deep lipoma has no capsule and pseudo-foot tissue infiltrates into the surrounding tissue. Histological examination showed that the lesion envelope was intact and consisted mainly of mature adipocytes. Tumors are not only localized in the subcutaneous layer, but also develop into the fascia, between the muscles and the muscle layer, and the normal tissue is unclear, showing invasive growth.

There may be two types of solitary lipoma and multiple lipoma. The former is flat or lobulated, soft and has a clear boundary with a lower limit of local mass. It is soft and can be promoted. The surface of the skin is normal, and the single-shot damage occurs late and develops slowly. The effect of removing the tumor is good. Occurs in deep tissues such as the peritoneum, which can turn into liposarcoma. Multiple lipomas have a family tendency. Also known as familial lipoma disease, the tumor is small, the number is as many as hundreds, often under the skin.

Diagnosis

Differential diagnosis

diagnosis:

(1) Occurs in the neck, back, shoulders and forearms, etc., and can occur in other parts of the body.

(2) More common in adults.

(3) Most are single-shot and few are multiple.

(4) The size of the mass is different, it is oblate or round, the boundary is unclear, the skin color is unchanged, the texture is soft, the pain is not painful, and there is a pseudo-fluctuation, the typical hand squeezes the mass, the surface can be The appearance of lobulation, the growth of the tumor is relatively slow.

Powder tumor, lipoma, neurofibroma, is a common benign tumor on the surface. Powder tumor, also known as sebaceous cyst. Located in the dermis, it has a complete envelope, which stores the secretion of bean curd residue with odor. Large soy beans, jujube large or larger. The face, behind the ears, back, and buttocks are good sites. Summer is easy to get infected with suppuration. The lipoma is located in the subcutaneous fat tissue and is made up of mature fat cells. More on the trunk, upper limbs. A single, different size, individual fists. It is oblate or round and has a lobulated shape with a complete thin envelope. The texture is soft and the cut surface is light yellow. Neurofibromatosis is a dominant hereditary disease with a family history. The nerve trunk or nerve endings originating from the body are located under the skin and are characterized by multiple occurrences. The tumor is small, can be pushed, the texture is tough, the boundary is clear, and there is no envelope. The cut surface is grayish white and translucent.

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