Lipolysis


lipoma capsulare

Description, Causes and Risk Factors:

A well-circumscribed mass resulting from a greatly increased amount of adipose tissue adjacent to the breast. This form of tumour consists of adipose tissue exactly like that of the body, as for instance the subcutaneous adipose tissue. Adipose tissue contains bands of fibrous connective tissue which carry the vessels and nerves, and so do lipomas, but in different tumours this is variously abundant. If there is little connective tissue the tumour is soft, and may even feel fluctuant. If there is much it is hard, and we may have an approach to the fibrous tumour, the fibrolipoma. The fibrous character may be increased by irritation, as where a tumour-is exposed to friction, producing a kind of indurative inflammation in the tumour.

Fatty tumours are mostly surrounded by a distinct capsule, but sometimes they are continuous with the surrounding fat. Thus the fat around the mamma (milk-secreting organ of female mammals) or the kidney may undergo such an enlargement as to warrant the name of tumour (Lipoma capsulare). Billroth mentions a lipoma which had grown in between the muscles of the thigh in such a way as that it could not be removed completely. Lipomas which are not definitely circumscribed may be called diffuse lipomas.

The cause of lipoma capsulare is not completely understood, but the tendency to develop them is inherited. A minor injury may trigger the growth. Being overweight does not cause this. It occurs in all age groups but most often appear in middle age. Single lipomas occur with equal frequency in men and women. Multiple lipomas occur more frequently in men.

Symptoms:

    Located right underneath the skin.

  • Soft as well as doughy to the touch.

  • Commonly small, but they can grow larger, occasionally painful. They are painful if they grown and press on any nearby nerves or if they contain many blood vessels.

  • Several features can add to the risk of developing a lipoma, including:

  • Between the ages of 40 and 60 years of age. They are most frequently found in this age group.

  • Having other disorders. Individuals with these disorders including adiposis dolorosa, Bannayn-Riley-Ruvalcaba syndrome (BRRS), Madelung disease, Cowden syndrome as well as Gardner syndrome seem to have increase frequency of developing lipoma capsulare.

Diagnosis:

Careful physical examination is essential to provide a correct diagnosis and to recommend appropriate treatment. The physical findings on examination represent a judgment call. The patient often presents with a chief complaint of a lump, which may or may not be confirmed by physical examination.

The physical findings may vary, depending on the amount of adipose tissue. In a woman who has recently lost considerable weight, the breasts appear lumpy. The cushion of fatty tissue is absent. This tissue normally feels like tapioca pudding, with small spherical aggregates that have a rather indistinct outline.

The physician must carefully evaluate the breast and then decide whether the findings represent a dominant mass or an exaggeration of normal breast tissue associated with fibrocystic changes.

Treatment:

Lipoma capsulare may be eradicated in the physician's office or also in an outpatient surgery center. The physician will inject a local anesthetic around the lipoma, then make an incision in the skin, remove the growth and close the incision with stitches. If the lipoma is in an area that may not be easily reached with a simple incision thru the skin, the lipoma might need to be removed under general anesthesia in the operating room.

Other methods of removal besides surgical include:

Steroid injections: This treatment shrinks the lipoma but normally does not completely eliminate the tumor.

Liposuction: This treatment uses a large syringe and a needle to remove the fatty lump. But it is rather difficult to remove the entire lipoma.

There are several herbal remedies for lipoma and they include chickweed. Chickweed tincture may be obtained at any herbal store. Take 1 teaspoon of this 3 times each day. It might be more effective to obtain a chickweed ointment at the herbal store to rub directly onto the affected area of the skin. Apply this ointment once a day. If this doesn't help either by shrinking the lipoma or eliminating the discomfort, try another herbal remedy.

NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.

DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

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