Sharma PK, Janniger CK, Schwartz RA, Rauscher GE, Lambert WC.
The treatment of atypical lipoma with liposuction.
J Dermatol Surg Oncol. 1991 Apr;17(4):332-4.
Plastic Surgery, Dermatology, and Pathology, New Jersey Medical School, Newark
07103-2714.
Large lipomas may best be treated with liposuction. Once a lipoma enlarges to 4
cm or more, liposuction has several advantages over conventional surgery. A
well-demarcated lipoma 15 cm in diameter and deep to muscle was treated by
liposuction. Biopsy showed an atypical lipoma. Because the entire tumor was
removed by liposuction, we feel that the prognosis is excellent. The cosmesis
and morbidity results were far superior to those anticipated with conventional
excisional surgery. Small superficial lipomas may be treated by suction
lipectomy and the surrounding area can be contoured symmetrically at the same
time, whereas large ones can be liposuctioned completely without extensive
surgical extirpation and morbidity. Because such big lesions may represent
atypical lipomas or liposarcomas, care must be taken to remove the entire tumor.
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