Lipoma is a fatty mass that can be found anywhere in the body. It is usually slow growing and does not impose any danger. If it grows big in a critical area like the back or shoulder, it can interfere with the bodily functions such as arm mobility.
The diagnosis of lipoma is a clinical diagnosis but in cases of uncertainty, an MRI will confirm the presence of a lipoma. Some lipomas are round like a ball with a sac making it well encapsulated while others do not have well circumscribed boundaries. Lipomas can be removed by either direct excision or by liposuction.
My approach: I use liposuction to remove a lipoma if the incision is in an aesthetically critical location. In majority of cases it is possible to remove the lipoma with a well-placed incision in a natural crease or curve.
Cysts are structures lined by a secretory membrane. Most cysts originate from sebaceous glands. These are the glands that make acne pimples. The cyst needs to be removed in its entirety. If a piece of the surrounding sac wall is left behind it can start secreting oils and cause an infection or a lump.
My approach: I always remove the cyst in its entirety through direct excision.
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