What are lipomas?
Lipoma is the most common benign soft tissue tumor. Lipomas are most commonly found in subcutaneous fatty tissue. Superficial lipomas lying under the skin are slightly displaceable. They feel soft and do not cause pain. Lipomas can rarely lead to a narrowing of the median arm nerve (median nerve) or the ulnar nerve (ulnar nerve). Lipomas can usually be easily identified by ultrasound. In the case of close proximity to nerves or vessels as well as atypical examination findings, a nuclear spin examination is helpful. A malignant change is very rarely possible. Evidence of this can be found in rapid growth or pain. Malignant liposarcomas tend to affect patients between the ages of 50 and 65.
What are the most common benign tumors of soft tissue?
- Atheromas: An atheroma is a cavity filled with yellowish-white day in the subcutaneous tissue. It is caused by a flow disorder of the sebaceous glands. If it increases in size or if there is a risk of inflammation, it can be surgically removed.
- Lipomas: A lipoma is a benign proliferation of fatty tissue cells. In rare cases, however, the growth can be malignant. Only surgical removal can confirm the diagnosis.
How is a tumour of the soft tissue removed?
The procedure to remove a lipoma is performed under local anesthesia, general anesthesia, or twilight sleep, as needed. There are two options for local anesthesia. Either the skin in the surgical area is anaesthetised or the surgeon specifically anaesthetises the nerve that supplies the surgical area. During twilight sleep, you will also receive sedatives and painkillers via the bloodstream. In order to operate particularly gently and to keep blood loss low, the skin is injected with an adrenaline solution. The skin over the palpable lump or at a nearby site favorable for scar formation is incised. Smaller vessels are sclerosed with the bipolar technique. Benign changes that can be easily demarcated are then closed. Ideally, very fine threads and optical magnification are used. In order for the wound to heal as inconspicuously and quickly as possible, the wound edges are adapted gently and precisely.
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Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.