These benign tumors are slowly growing, well defined soft rounded, labulated and mobile modules composed of mature fat cells, arising from the adipose tissue in the subcutaneous layer of the skin.
There's no particular cause known.
Histopathology
The lesion consists of lobulated of normal fat cells held together by strands of connective tissue, which are enclosed within a capsule of connective tissue. Occasionally, eccrine sweat glands may be associated and then they are called as adenolipomas.
Clinical features
Lipomas are soft, lobulated subconscious modules varying in size and number. These grow very slowly and are generally not adherent to the overlying epidemis and can thus be moved freely on the underlying structures on palpitation. They are usually asymptomatic, but can become painful in cases of them causing pressure over the nerves.
These tend to occur anywhere on the body, but are usually seen on the neck, limbs back and shoulders.
Diagnosis
These are easy to diagnose with its typical clinical presentation and it typically slipping away from the palpating fingers on examination. In doubtful cases, a biopsy will confirm the diagnosis.
Differential diagnosis
An epidermoid cyst can resemble a lipoma, but the presence of central punctum helps make the correct diagnosis.
Angiolipomas are encapsulated, lobulated bengin tumours different histologically from a lipoma with its excessive degree of vascular proliferation and it being usually painful and tender to touch.
A lipoma which feels doughy and usually isn't tender moves readily with slight finger pressure.lipomas are usually detected in middle age.
Some people have more than one lipoma.A lipoma is not cancer and usually is harmless.
Generally small lipomas are typically less than 2 inches (5 centemers) in diameter but they can grow.
Sometimes painful limopas grow and press on nearby nerves or if they can contain many blood vessels.
Less frequently some lipomas can be deeper and larger than typical lipomas.
Treatment
In obese patients profuse sweating on head sensitive to cold air likes eggs Calc carb 200
Craving for sweets Sulphur 200
Painful lipomas Belladonna 200
High level cholesterol Thuja 1 m
Composed of fat cells usually of mature form but occasionally in part or wholly of embryonal type Bar.carb alternately with Uric acid for outer application Thuja Q
Lapis alb and phytolacca
Specific remedy is Ferrum pic 3 x potency Four doses daily
Sycotic-co , Graphites, Calc flr, Siliceia, Epihysterinum, Aur Mur nat, Carcinosinum, Vaccininum are very useful to me for the same.
Remembering the fact the choice of selection was purely on Symptom similarity and not using them empirically
As far as lipoma is concerned my results have not been too satisfactory in my practice. Multiple limopas all over the body should never be accepted for Homoeopathic treatment, as you cannot resolve all the lipomas. Also don't give a false guarantee that after Homoeopathic treatment, one may not develop new lipomas.
I have seen so many Homoeopaths who encourage this, but ultimately they spoil the name of the science.Lipoma should not be considered 100 percent benign always, as sarcomatoid changes in benign limopas are known especially if located in the region of the thighs. Two rare medicines found most useful in my practice of lipomas are Bacillus no 10, a bowel Nosode and Uricum acidum.
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