Lipoma physical examination

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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

The presence of a painless mobile mass under the skin on physical examination is highly suggestive of lipoma.

Physical examination

• Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.
• 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 patient 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.
• Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.

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

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  Lipoma. Adapted from Dermatology Atlas.

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  Lipoma. Adapted from Dermatology Atlas.

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  Lipoma. Adapted from Dermatology Atlas.

Multiple Symmetric Lipomatosis

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.