A lipoma is a slow-growing mass of fat that is often located between the skin and the underlying muscle layer. A lipoma, which has a doughy texture and is usually not soft, moves easily with a simple push of a finger. Lipomas are usually detected in middle age. Some people have more than one lipoma.

A lipoma is noncancerous and usually harmless. Treatment isn’t generally necessary, but if the lipoma bothers you, hurts you, or grows, you may need to have it removed.

A lipoma can occur anywhere in the body. It is always:

It is located just under the skin. It usually occurs in the neck, shoulders, back, abdomen, arms, and thighs.
It has a soft or doughy feel to it and can move around easily under light finger pressure.
Generally small. A lipoma is usually less than 2 inches (about 5 centimeters) in size, but it can grow.
And sometimes it’s painful. A lipoma is painful when it grows pressing on nearby nerves, or if it contains many blood vessels.
When do you visit the doctor?
Lipomas are a serious medical condition that occurs rarely. But if you notice a nodule or swelling anywhere in your body, you should see a doctor for an examination.

the reasons
The main cause of lipomas is not fully understood. It can also run in families, so genetics play a role in its development.

risk factors
Several factors may increase your risk of developing a lipoma, including:

The average age should be between 40 to 60 years. Although a lipoma can develop at any age, it is more common in this age group.
Genetic genes. Lipomas tend to run in families.

Some people complain of hard lumps under the skin in various places on the body, and although they are often known as sebaceous cysts that are not dangerous, they may cause them distress and discomfort, especially if they have increased significantly in size or if they cause pain, and then they resort to the doctor for treatment.

What are sebaceous cysts?
They are also called lip cysts, as they are called lipomas, which are benign slow-growing tumors caused by excessive growth of fat cells, located between the skin and muscles, usually smaller than one centimeter, but may reach up to 6 cm, and they are called cysts because they resemble a cyst, And they are filled with substances that may emit a foul odor at times, but they most likely do not pose any damage to the body, but they become annoying and may cause pain, especially if they are in a place where clothes are pressed, or if they appear in the area of ​​nerves, and they become harmful in the event The cyst is inflamed as a result of bacterial infection, and thus needs immediate treatment.

More than one cyst may appear in different areas of the body, such as the neck, breast, trunk, upper thighs, upper arms, armpits, or genitals.

It may appear at any age even in children, but it is common between the ages of 40 and 60, and it is more common in both men and women, but men are more susceptible to it because they have more hairy areas than women.

What are the causes of cysts?
The confirmed cause is not yet known, but the genetic factor plays a major role in the occurrence of infection, as it is frequent among members of the same family, and it may occur as a result of blockage of the sebaceous glands, which causes their secretions to collect inside the skin, or swelling and inflammation of the hair follicles, or a deficiency in vitamin A, which makes The outer layer of the skin is thicker, so it is difficult for the secretions to reach the outside and collect under the skin, or due to an increase in the secretion of the male hormone (testosterone), an increase in sebum production, or skin disorders associated with genetic diseases.

How is the diagnosis made?
It is easy to diagnose sebaceous cysts by physical examination, as they are superficial, soft in texture, and move as soon as you press on them with a finger.

But if the tumor appears different from the typical characteristics, or it is very large, it requires an ultrasound, CT or MRI scan, and a tissue sample may be taken for analysis, in order to rule out the presence of a cancerous tumor in the fatty tissue Liposarcoma, a tumor that is growing rapidly It does not move under the skin, but it is rare.

What are the treatment options?
Treatment of sebaceous cysts is not medically necessary, so they may be left for years, and may often dissipate on their own, but if the cyst becomes inflamed, it is treated with antibiotics, as well as if the swelling becomes painful or if it increases in size too large, it is still for cosmetic reasons , or it may be excised for histological study to verify that it is not a malignant type of liposarcoma.

Fat cysts are usually removed with minor surgery under local anesthesia, take less than 30 minutes to remove, and rarely recur after removal.

Syringe liposuction is another option if the sebaceous cysts are soft and small. This method usually results in less scarring than surgery, but with larger cysts it may fail to remove the tumor completely, which can lead to it growing again.

A new method that has been developed that is supposed to remove sebaceous cysts without scarring is removal by using injections of fat-dissolving compounds such as steroids, but in this way the lumps do not completely disappear.

Finally, to prevent the formation of sebaceous cysts, it is necessary to maintain clean skin, free of germs, and to ensure that excess sebum is not produced in the body. Therefore, it is recommended to eat an adequate amount of vegetables and fruits, drink sufficient amounts of water, avoid fatigue and stress, and take a sufficient rest, And stay away from staying up late, showering with antibacterial soap.