lipoma-121021081029-phpapp01. Making pdf

lipoma-121021081029-phpapp01. Making pdf

• 1.
  LIPOMA
• 3.
  Introduction  Commonest tumorof s/c tissue.  Benign  Arising from yellow fat  Universal tumor  Karyotype 12q change  Hibernoma
• 4.
  Types Encapsulated s/c lipoma Diffusevariety Multiple lipomas- Dercum’s d/s
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  Histological types Fibrolipoma Neurolipoma Naevolipoma
• 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, Baker’s 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
• 9.
  Clinical features  Localized,lobular, non-tender  Semi-fluctuant  Mobile  Slip sign  Skin free  Pedunculated +/-
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  Complications  Myxomatous degeneration Saponification  Calcification  Infection  Ulceration  Intussusception & intestinal obstruction
• 12.
  Liposarcoma  Common inretroperitoneum, thigh & back  Rapid growth  Warm & vascular  Dilated veins  Restriction of mobility  Skin fixation & fungation  Hematogenous spread to lungs
• 13.
  Treatment  Excision  Liposarcoma-wide excision, reconstruction, adjuvant chemo- & radiotherapy
• 15.
  Thank you…