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What is lipoma and how can it be treated ?

My four month old grand daughter has a big bump on her back just belw the neck . My daughter took her to the pediatrician this morning. She didn t seem alarmed but will do an ultrasound anyway. She said it may be a lipnoma??? Or heigenoma. I ve grossly mis spelled this???? What are these
Asked On : Sat, 3 Mar 2012
Answers:  2 Views:  219
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Pediatrician, Infectious Diseases 's  Response
Welcome to Healthcare Magic forum.
I assume you want to mention lipoma and hemangiomas as the two diferential diagnoses your pediatrician has provided for your granddaughters lesion .
A hemangioma is a lump caused by abnormal collection of blood vessels.
Hemangiomas are the most common tumors of infancy, and most infantile hemangiomas are medically insignificant. Occasionally infantile hemangiomas may impinge on vital structures, ulcerate, bleed, or cause significant structural abnormalities or disfigurement.But most of them spontaneously resolve as the child grows.They may grow rapidly for first few months and later on start involuting on their own.
Lipomas are benign tumors composed of mature fat cells.The lipomas are present in the subcutaneous fat layer just below the skin.The skin over lipoma appears normal and they present as soft to firm lumps with some mobility.They are harmless and if cosmetically unacceptable they can be surgically excised by a minor procedure.
In your granddaughters case , her pediatrician has rightly advised an ultrasound as it can differentiate between the two and confirm the diagnosis.Unless complicated like tethering to important internal structures, or impingement or ulceration or association with other congenital anomalies , any of the two diagnoses is not alarming as such.So please do not worry and go ahead with the investigation.
Wishing her a speedy recovery and good health forever.

Answered: Sat, 3 Mar 2012
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Dermatologist Dr. Puvvula Kishore Kumar's  Response
Hi..dear Moussetoo..,
Thanks for choosing HCM..,
Big bump just below the neck...,
Usually due to
1) LIPOMA..,A lipoma is a growth of fat cells in a thin, fibrous capsule usually found just below the skin..,. lipomas are tendency to develop them is inherited. A minor injury may trigger the growth. Being overweight does not cause lipoma...It may be surgically removed by when it....Becomes painful or tender..,infected or inflamed repeatedly.
Drains foul-smelling discharge...,Interferes with movement /function.Increases insize..,
But it is not common immediate after birth..ok
2) HEMANGIOMA....Hemangiomas are the most common benign tumor in infants about 60 percent of hemangiomas occur in babies’ head and neck area. About 25 percent occur in the trunk and 15 percent occur in the arms or legs.
About 80 percent of hemangiomas grow as a single tumor, and about 20 percent occur in multiple areas..: Most hemangiomas go away on their own without any treatment. We recommend that a primary care physician monitor your child’s lesion, provide support and reassurance and contact a vascular anomalies specialist and he will give..,
correct advise..ok...thanQ
Answered: Sat, 7 Apr 2012
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