Lipoma classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Lipoma may be classified into 12 subtypes: adenolipomas, angiolipoleiomyomas, angiolipoma, cerebellar pontine angle and internal auditory canal lipomas, chondroid lipomas, corpus callosum, hibernomas, intradermal spindle cell lipomas, neural fibrolipomas, pleomorphic lipomas, spindle-cell lipomas, and superficial subcutaneous lipomas.

Classification

Lipomas can be classified according to their anatomical locations into:[1]

  • Dermal
  • Subcutaneous
  • Subfascial

Another suggested classification is according to the related structure:

  • Muscles-related lipoma
  • Nerve-related lipoma
  • Bone-related lipoma
  • Synovium-related lipoma

World health organization (WHO) classification system classified lipomatous tumors into the following subtypes:[2]

  • Lipoma
  • Lipomatosis
  • Lipomatosis of nerve
  • Lipoblastoma/lipoblastomatosis
  • Angiolipoma
  • Myolipoma of soft tissue
  • Chondroid lipoma
  • Spindle-cell lipoma/pleomorphic lipoma
  • Hibernoma

Weiss and Goldblum classified Lipomatous tumors into the following subtypes. This classification system has shown more clinical utility.[3]

  • Lipoma which may be classified as superficial or deep, single or multiple
  • Variants of lipoma including:
    • Angiolipoma
    • Myolipoma
    • Chondroid lipoma
    • Lipoblastoma
    • Lpindle-cell/pleomorphic lipoma
  • Lipomatous tumors including:
    • Intramuscular lipoma
    • Intermuscular lipoma
    • Lipomatosis of nerve
    • Lipoma of the tendon sheath and joint
  • Infiltrating lipomas including
    • Diffuse lipomatosis
    • Symmetric lipomatosis
    • Adiposis dolorosa
  • Hibernoma

References

  1. Al-Qattan, M. M.; Al-Lazzam, A. M.; Al Thunayan, A.; Al Namlah, A.; Mahmoud, S.; Hashem, F.; Tulbah, A. (2012). "CLASSIFICATION OF BENIGN FATTY TUMOURS OF THE UPPER LIMB". Hand Surgery. 10 (01): 43–59. doi:10.1142/S0218810405002541. ISSN 0218-8104.
  2. Bancroft, Laura W.; Kransdorf, Mark J.; Peterson, Jeffrey J.; O’Connor, Mary I. (2006). "Benign fatty tumors: classification, clinical course, imaging appearance, and treatment". Skeletal Radiology. 35 (10): 719–733. doi:10.1007/s00256-006-0189-y. ISSN 0364-2348.
  3. Goldblum, John (2014). Enzinger and Weiss's soft tissue tumors. Philadelphia, PA: Saunders/Elsevier. ISBN 9781455737635.


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