Lipoma physical examination: Difference between revisions

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Latest revision as of 16:48, 22 November 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Shanshan Cen, M.D. [3] Sahar Memar Montazerin, M.D.[4]

Overview

Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency. This mass often occur in the neck, shoulders, back, arms and thighs. Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and locatins. Neuromuscular examination of patients with lipoma may be remarkable for positive Tinel's sign and Phalen's sign. Lasègue's sign may be positive in case of lumbosacral lipoma.

Physical examination

Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.^[1]
Lipomas often occur in the neck, shoulders, back, arms and thighs.

Appearance of the Patient

Patients with lipoma usually appear normal.

Vital Signs

Vital signs of a patients with lipoma are stable.

Skin

Skin examination of patients with a lipoma is usually normal.
Subcutaneous lipoma is palpated as a mobile, soft lump which is usually painless.

HEENT

HEENT examination of patients with a lipoma is usually normal.

Neck

Neck examination of patients with a lipoma is usually normal.

Lungs

Pulmonary examination of patients with a lipoma is usually normal.

Heart

Cardiovascular examination of patients with a lipoma is usually normal.

Abdomen

Abdominal examination of patients with a lipoma is usually normal.

Back

Back examination of patients with a lipoma is usually normal.

Genitourinary

Genitourinary examination of patients with a lipoma is usually normal.

Neuromuscular

Neuromuscular examination of patients with a lipoma is usually normal.^[2]^[3]^[4]
Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.
Lipomas of tendon sheaths and joints may present with positive Tinel's sign and Phalen's sign.
Lumbosacral lipoma may cause positive Lasègue's sign.

Extremities

Extremities are common locations for lipoma development and in the presence of lipoma, a mobile lump with a soft consistency will be palpated.

Extremity

Lipoma. Adapted from Dermatology Atlas.^[5]
Lipoma. Adapted from Dermatology Atlas.^[5]
Lipoma. Adapted from Dermatology Atlas.^[5]

Multiple Symmetric Lipomatosis

Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[5]
Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[5]
Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.^[5]

References

↑ Allen, Brian; Rader, Christine; Babigian, Alan (2007). "Giant lipomas of the upper extremity". Canadian Journal of Plastic Surgery. 15 (3): 141–144. doi:10.1177/229255030701500308. ISSN 1195-2199.
↑ Gurich RW, Pappas ND (December 2015). "Lipoma of the Tendon Sheath in the Fourth Extensor Compartment of the Hand". Am J. Orthop. 44 (12): 561–2. PMID 26665243.
↑ Kang, Hyun-Seung; Wang, Kyu-Chang; Kim, Kwang Myung; Kim, Seung Ki; Cho, Byung Kyu (2006). "Prognostic factors affecting urologic outcome after untethering surgery for lumbosacral lipoma". Child's Nervous System. 22 (9): 1111–1121. doi:10.1007/s00381-006-0088-5. ISSN 0256-7040.
↑ Jones, Victoria; Wykes, Victoria; Cohen, Nicki; Thompson, Dominic; Jacques, Tom S (2018). "The pathology of lumbosacral lipomas: macroscopic and microscopic disparity have implications for embryogenesis and mode of clinical deterioration". Histopathology. 72 (7): 1136–1144. doi:10.1111/his.13469. ISSN 0309-0167.
↑ ^5.0 ^5.1 ^5.2 ^5.3 ^5.4 ^5.5 "Dermatology Atlas".

[AllenRader2007-1] Allen, Brian; Rader, Christine; Babigian, Alan (2007). "Giant lipomas of the upper extremity". Canadian Journal of Plastic Surgery. 15 (3): 141–144. doi:10.1177/229255030701500308. ISSN 1195-2199.

[pmid26665243-2] Gurich RW, Pappas ND (December 2015). "Lipoma of the Tendon Sheath in the Fourth Extensor Compartment of the Hand". Am J. Orthop. 44 (12): 561–2. PMID 26665243.

[KangWang2006-3] Kang, Hyun-Seung; Wang, Kyu-Chang; Kim, Kwang Myung; Kim, Seung Ki; Cho, Byung Kyu (2006). "Prognostic factors affecting urologic outcome after untethering surgery for lumbosacral lipoma". Child's Nervous System. 22 (9): 1111–1121. doi:10.1007/s00381-006-0088-5. ISSN 0256-7040.

[JonesWykes2018-4] Jones, Victoria; Wykes, Victoria; Cohen, Nicki; Thompson, Dominic; Jacques, Tom S (2018). "The pathology of lumbosacral lipomas: macroscopic and microscopic disparity have implications for embryogenesis and mode of clinical deterioration". Histopathology. 72 (7): 1136–1144. doi:10.1111/his.13469. ISSN 0309-0167.

[Dermatology_Atlas-5] 5.0 ^5.1 ^5.2 ^5.3 ^5.4 ^5.5 "Dermatology Atlas".

[1]

[2]

[3]

[4]

[5]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Lipoma}}
-{{CMG}};{{AE}} {{KS}} {{SC}}
+{{CMG}};{{AE}} {{KS}} {{SC}} {{Sahar}}
 ==Overview==
-The presence of a painless mobile [[mass]] under the skin on physical examination is highly suggestive of lipoma.
+Physical examination of [[patients]] with a lipoma is usually remarkable for a mobile, painless [[mass]] with a soft consistency. This mass often occur in  the [[neck]], [[shoulders]], back, arms and [[thighs]]. Sometimes, lipoma may cause limitation in the range of motions of the [[extremities]] depending on their size and locatins. Neuromuscular examination of patients with lipoma may be remarkable for positive [[Tinel's sign]] and [[Phalen's sign]]. [[Lasègue's sign]] may be positive in case of lumbosacral lipoma.
 ==Physical examination==
-*Location: The [[mass]] of lipoma is often located under the skin. They often occur in the neck, shoulders, back, arms and thighs.
+*[[Physical examination]] of [[patients]] with a lipoma is usually remarkable for a mobile, painless [[mass]] with a soft consistency.<ref name="AllenRader2007">{{cite journal|last1=Allen|first1=Brian|last2=Rader|first2=Christine|last3=Babigian|first3=Alan|title=Giant lipomas of the upper extremity|journal=Canadian Journal of Plastic Surgery|volume=15|issue=3|year=2007|pages=141–144|issn=1195-2199|doi=10.1177/229255030701500308}}</ref>
+*Lipomas often occur in the [[neck]], [[shoulders]], [[back]], arms and [[thighs]].
-*Size: Most lipomas are small, usually less than 2 inches or 5 centimeters in diameter. When they grow large, the size can reach more than 4 inches or 10 centimeters.
+===Appearance of the Patient===
-*Palpation: A lipoma feels soft, doughy and mobile.
+*[[Patients]] with lipoma usually appear normal.
-*[[Pain]]: Usually painless, but when lipomas grow and press on nearby nerves or they contain many blood vessels, they may be painful.
+===Vital Signs===
+*[[Vital signs]] of a [[patients]] with lipoma are stable.
 ===Skin===
+*[[Skin]] examination of [[patients]] with a lipoma is usually normal.
+*[[Subcutaneous]] lipoma is palpated as a mobile, soft [[lump]] which is usually painless.
+===HEENT===
+* HEENT examination of [[patients]] with a lipoma is usually normal.
+===Neck===
+* Neck examination of [[patients]] with a lipoma is usually normal.
+===Lungs===
+*[[Pulmonary]] examination of [[patients]] with a lipoma is usually normal.
+===Heart===
+*[[Cardiovascular]] examination of patients with a lipoma is usually normal.
+===Abdomen===
+*[[Abdominal]] examination of patients with a lipoma is usually normal.
+===Back===
+* Back examination of [[patients]] with a lipoma is usually normal.
+===Genitourinary===
+*[[Genitourinary]] examination of [[patients]] with a lipoma is usually normal.
+===Neuromuscular===
+*[[Neuromuscular]] examination of [[patients]] with a lipoma is usually normal.<ref name="pmid26665243">{{cite journal |vauthors=Gurich RW, Pappas ND |title=Lipoma of the Tendon Sheath in the Fourth Extensor Compartment of the Hand |journal=Am J. Orthop. |volume=44 |issue=12 |pages=561–2 |date=December 2015 |pmid=26665243 |doi= |url=}}</ref><ref name="KangWang2006">{{cite journal|last1=Kang|first1=Hyun-Seung|last2=Wang|first2=Kyu-Chang|last3=Kim|first3=Kwang Myung|last4=Kim|first4=Seung Ki|last5=Cho|first5=Byung Kyu|title=Prognostic factors affecting urologic outcome after untethering surgery for lumbosacral lipoma|journal=Child's Nervous System|volume=22|issue=9|year=2006|pages=1111–1121|issn=0256-7040|doi=10.1007/s00381-006-0088-5}}</ref><ref name="JonesWykes2018">{{cite journal|last1=Jones|first1=Victoria|last2=Wykes|first2=Victoria|last3=Cohen|first3=Nicki|last4=Thompson|first4=Dominic|last5=Jacques|first5=Tom S|title=The pathology of lumbosacral lipomas: macroscopic and microscopic disparity have implications for embryogenesis and mode of clinical deterioration|journal=Histopathology|volume=72|issue=7|year=2018|pages=1136–1144|issn=03090167|doi=10.1111/his.13469}}</ref>
+* Sometimes, lipoma may cause limitation in the range of motions of the [[extremities]] depending on their size and location.
+*Lipomas of tendon sheaths and joints may present with positive [[Tinel's sign]] and [[Phalen's sign]].
+*Lumbosacral lipoma may cause positive [[Lasègue's sign]].
+===Extremities===
+*[[Extremities]] are common locations for lipoma development and in the presence of lipoma, a mobile [[lump]] with a soft consistency will be palpated.
 ====Extremity====
 <gallery>
 Image:Lipoma01.jpg|Lipoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Lipoma02.jpg|Lipoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Lipoma03.jpg|Lipoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 </gallery>
 ===Multiple Symmetric Lipomatosis===
 <gallery>
 Image: L4040.jpg| Multiple Symmetric Lipomatosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image: L4043.jpg| Multiple Symmetric Lipomatosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image: L4041.jpg| Multiple Symmetric Lipomatosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 </gallery>
 ==References==
 {{reflist|2}}
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