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23 Years old house wife came to me complain with large inflammable muscle type on back radiating left middle region. This lump since two years. Chief Complaints Tenderness in lump when lying on left sided and gradually increase. History Treatment under homeopathy but not relief. First time the lump was scart form, but very soft now days. Vitals Normal study. Physical Examination Very soft and tenderness. Investigations Please suggest necessary investigation. Diagnosis LIPOMA??? Management PLEASE SUGGEST ???

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Lipoma A fatty lump most often situated between the skin and underlying muscle layer. Lipomas are slow growing and usually harmless. Rarely, they can be cancerous. Some people have more than one. They are possibly caused by a physical trauma. However, it is unclear whether the trauma causes a lipoma to form, or if the lipoma is discovered simply as a result of medical attention to that area of the body. The most common way to treat a lipoma is to remove it through surgery.

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A Lipoma A F.N.A,C is required for confirmation of the diagnosis Treatment is surgical excision of the lipoma An X - ray should be done before surgery to rule out any other D/ D - growth from bone,origin Other D/D is a cold abscess

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Clinically it is suggestive of lipoma,it can be confirmed beyond doubt by US scanning and FNAC, it can be excised under LA or under GA if the patient is very apprehensive.

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? LIPOMA.. ? UNDERLYING BONE..SOFT TISSUE PATHOLOGY.. NEED'S .. FNAC .. USG..STUDY.. SURGICAL INTERVENTION..

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Indeed soft gradually enlarged swellings asymptomatic is lipoma Adv excision by surgeon under LA

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DD Lipoma Cold abscess Needs ultrasound exam, FNAC

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Apparently Lipoma Surgical removal

Thanks Dr. Dinesh Gupta
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Lipoma

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Lippma

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Xrays Usg evaluation FNAC

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