Lipoma, Cyst, Lymph Node or Other Mass Excision

Lipomas

A lipoma is a non-cancerous growth of fat cells under the skin. Lipomas can occur anywhere in the body but are most commonly found on the shoulders, neck, chest, arms and the back.

Lymph Node

Causes

Lipomas commonly occur in middle age, affecting one in 100 people. The cause of a lipoma is unknown, but it can be triggered by a minor injury and in some people it develops as an inherited condition called familial multiple lipomatosis with the occurrence of more than one lipoma.

Symptoms

Lipomas are small in size (about 1-3cm) that grow very slowly and generally do not cause pain or any other symptoms. But if developed deep inside the body, a lipoma can press against an organ or nerve, causing related symptoms (example – lipoma of the intestine can cause bowel obstruction).

Diagnosis

A lipoma can be easily diagnosed by its appearance and the feel of it on pressing. It is smooth, soft and rubbery that may move about under the skin. But, sometimes an ultrasound scan, MRI or CT and biopsy (sample of fatty lump is taken for lab examination) may be performed to rule out liposarcoma (cancer of fat tissue).

Treatment

Lipomas are not cancerous and therefore do not require treatment, however, they may be surgically removed if symptoms develop. These include pain, tenderness, enlargement, or foul smelling discharge from the lipoma, presence of swelling and infection or functional impairment caused by deep lying lipomas.

Surgical excision (removal) of lipoma

Excision is a simple out-patient surgical procedure for lipomas which is performed under local anesthesia. Your surgeon will make an incision in your skin and excise or remove the lipoma. The skin is then closed using sutures and you can see a small scar once the wound is healed.

For deep lying lipomas, the surgery may be performed under general anesthesia in an operating room.

Complications

Surgical excision of lipoma is generally a safe procedure, but a few complications can occur if lipomas are large and deep inside the tissue. These complications include bruising, wound infection and injury to blood vessels, nerves or muscles.

Post-operative care

  • If there is redness, pain, swelling, persistent bleeding or any discharge from the sutured area, contact your surgeon immediately
  • The sutured site should be kept clean and dry
  • If bleeding occurs continuously after dressing, place an additional dressing on top of it and apply pressure for about half an hour. If bleeding still occurs, contact your surgeon.
  • Avoid shaving if the lipoma is removed from the beard area until healed.
  • Avoid any make-up at the operation site until the wound is healed.
  • Do not wear clothes that might rub on the skin at the suture line.

Cyst Excision

Cysts are sac-like structures that contain fluid or semi-solid material. Sebaceous cysts are common benign (non-cancerous) growths on the skin that develop on the face, neck and trunk regions. Most are harmless, but you may choose to remove a cyst for cosmetic reasons or if it causes pain. Cyst excision is a simple and quick procedure.

The removal of a skin cyst is performed under local anesthesia. Aseptic precautions are taken to prevent infection. Your doctor makes a superficial incision over the cyst, but care is taken not to rupture it during the procedure. Forceps are used to hold the skin. The cyst is isolated by cutting the attached tissue to mobilize and remove it. Your doctor may suture the skin if the cyst is large and would leave a significant blemish. The removed cyst is sent to the laboratory for examination. As with all surgical procedures, cyst excision may be associated with certain complications which include bleeding, infection, nerve damage, scarring, pain, inflammation and possible re growth.

Lymph Node Biopsy or Excision

Lymph nodes are oval shaped glands that produce cells that defend the body against foreign objects. They are present in different parts of the body such as the neck, armpits, behind the ears, chest, belly and groin. Lymph node biopsy is performed as a diagnostic test to detect infection or diseases such as cancer (abnormal growth of cells) in the lymph nodes.

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