A patient noticed a lump on the back of his arm about five years ago. The lump grew bigger and he tried to hide it from other people. He became quite self conscious about it. One of his friends advised him to rub Vaseline and shea butter on the lump, which he did religiously.
The patient was surprised that instead of drying up, the lump got bigger and painful. This situation affected him psychologically.
This is a growth of fat cells in a thin, fibrous capsule usually found just below the skin. Lipomas are found most often on the neck, trunk, upper thighs, upper arms, and armpits; but they can occur almost anywhere in the body. They are soft or firm to the touch, usually movable and are generally painless. Many lipomas are small, but they can become enlarged. One or more lipomas may be present at the same time. Lipomas are the most common non-cancerous soft tissue lumps.
The cause of lipoma is not completely understood, but the tendency to develop them is inherited. For one, a minor injury may trigger the growth. Being overweight does not cause lipomas.
Lumps are felt just under the skin, they are movable and have a soft, rubbery consistency. They may not cause pain, they may remain the same size over the years or grow very slowly. They may increase in size, thus making the lipoma noticeable by others.
There is no known treatment to prevent lipomas or affect their growth. Lipomas are normally removed by simple excision. The removal can often be done under local anaesthesia and it takes up to 30 minutes or more If the lipoma is in an area of the body that cannot be easily reached through a simple incision in the skin – as in the case of anal lipoma – the lipoma may need to be removed in the operating room under general anaesthesia by a surgeon.
As a rule, when the lipoma is removed, it is sent for histology to rule out any evidence of malignancy (cancer).
Ganglions: Ganglion cysts are the most common mass or lump in the hand. They are not cancerous and, in most cases, are harmless. They occur in various locations, but most frequently develop on the back of the wrist. Ganglion was commonly called “Bible bumps” because it was often hit by a Bible or heavy book as a form of treatment.
It is not known what triggers the formation of a ganglion. They are most common in younger people between the ages of 15 and 40 years, and women are more likely to be affected than men. These cysts are also common among gymnasts, who repeatedly apply stress to the wrist.
Most ganglions form a visible lump, however, smaller ganglions can remain hidden under the skin. Although many ganglions produce no other symptoms, if a cyst puts pressure on the nerves that pass through the joint, it can cause pain, tingling, and muscle weakness. Large cysts, even if they are not painful, can cause concerns about appearance.
Investigation: X-rays, These tests create clear pictures of dense structures, like bone.
Although x-rays will not show ganglion cyst, they can be used to rule out other conditions, such as arthritis or a bone tumor. Sometimes, an MRI or ultrasound is needed to find an occult ganglion that is not visible, or to distinguish the cyst from other tumors.
Observation. Because the ganglion is not cancerous and may disappear in time, if you do not have symptoms, your doctor may recommend just waiting and watching to make sure that no unusual changes occur.
One crude method of treating a ganglion cyst is to strike the lump with a large heavy book or bible, causing the cyst to rupture and drain into the surrounding tissues.
Immobilisation: Activity often causes the ganglion to increase in size and also increases pressure on nerves, causing pain.
A wrist brace or splint may relieve symptoms and cause the ganglion to decrease in size.
Aspiration: If the ganglion causes a great deal of pain or severely limits activities, the fluid may be drained from it. This procedure is called an aspiration.
Surgery: Your doctor may recommend surgery if your symptoms are not relieved by nonsurgical methods, or if the ganglion returns after aspiration. The procedure to remove a ganglion cyst is called an excision. It is typically an outpatient procedure and patients are able to go home after the excision
There are many other abnormal growths in the body but those common are skin tags ,freckles ,moles, bumps, keloids ,breast lumps in women may also be excised, some fragile growth may be ligated with suture.
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