Lipoma is the most common soft tissue tumor arising from yellow fat. It presents as a mobile, lobular mass that is non-tender and has a semi-fluctuant consistency. On examination, the mass can slip under the examining fingers, known as the "slip sign". Lipomas most commonly occur just under the skin, but can also develop in various deep locations like intermuscularly, intra-articularly, or retroperitoneally. While lipomas are usually benign and can be excised with clear margins, liposarcomas are rare malignant versions that require wide excision and potentially adjuvant therapies.
7. Sites
location presentation d.d. Significance
s/c Mobile, lobular,
edge slips under
palp.fingers
Neurofibrom
a
Most common
variety
subfascial Diff. to appreciate
edge & lobulation
Implantation
dermoid ,
Tbtenosynovitis
In scalp- erodes
bone
Subsynovial,
intra-articular
Knee/elbow
sweling
Bursa,
Bakers cyst
Intra-articular is
rare
Intermuscular Swelling Fibrosarcoma
Hematoma
More chance of
devpg
liposarcoma
Parosteal Feels hard Bony tumor Very, very rare
8. Contd..
location presentation d.d. Significance
Submucus Asymptomatic/
stridor
Intestinal/laryngea
l tumor
Intussusception
Subserosal Retroperitoneal
swelling
Hydronephrosis,
retroperitoneal
cyst
Liposarcoma
Extradural Very rare - -
Intraglandula
r
Breast, pancreas Cystic lesions Very rare