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WHAT IS A LIPOMA/ GANGLION CYST?

  • LIPOMA – A small oval-shaped lump of tissues usually seen on the neck, shoulders, forearms, arms, and thighs are called Lipomas. These are painless nodules of fat cells that are benign. They grow slowly and are mostly non-cancerous.
  • GANGLION CYSTS- This is a small sac of fluid that forms over a joint or tendon. The cysts are filled with a thick, sticky, jelly-like material. They are also called Bible cysts, and commonly show up on the back of the hand at the wrist joint, fingertips, knee, ankle top of the foot, etc. 

CAUSES OF LIPOMA

  • Decrum’s disease – A rare disorder that causes the growth of painful Lipomas on arms, legs, and torso
  • Hereditary multiple lipomatosis – An inherited condition passed down through families 
  • Gardner syndrome – Cause multiple Lipomas, and is also known as Familial Adenomatous Polyposis (FAP)
  • Madelung’s disease – Growth of Lipomas around the neck and shoulders prevalent in men who consume excess alcohol

 

DIAGNOSIS AND LINE OF TREATMENT 

LIPOMA/GANGLION CYSTS

The doctor inquires about the patient history and symptoms of the disease. A clinical examination like a ‘slippage sign’ is conducted to evaluate the Lipomas on your body. 

When Lipomas become painful or abnormally large following tests are recommended by a general surgeon:

  • Biopsy – To check the sign of cancer
  • Ultrasound Scan – To check if the Lipoma is pressing the nerves or blood vessels
  • MRI & CT Scan 

 

SIGNS AND SYMPTOMS OF LIPOMA/GANGLION CYSTS

 

LIPOMA

GANGLION CYSTS 

Soft to touch

Soft bump of mass that changes the size but doesn’t move

Felt under the skin

It may grow; go away or even come back

Colourless lump

Swelling in affected area

 

 

LIPOMA

NON-SURGICAL

STEROID INJECTIONS – The doctor gives steroid injections at the site of the lipoma directly that helps shrink the lipoma but cannot cure or remove it. 

SURGICAL

Surgery proves to be an effective treatment for lipoma. During the procedure, the doctor makes a small excision and uses the liposuction method to extract the fatty tissues. It is a minimally invasive procedure that leaves no scar on the body and reduces the chances of lipoma reoccurrence. 

GANGLION CYSTS

NON-SURGICAL

Immobilization – Activity can cause the ganglion cyst to get large, thus temporarily immobilizing the area with a brace or splint helps. As the cyst shrinks, it may release the pressure on the nerve relieving the pain. 

Aspiration - A needle is used to drain out the fluid from the cyst but the cyst may recur over time. 

SURGICAL

Surgery to remove ganglion cysts is called ganglionectomy which is an outpatient procedure. Complete recovery takes two to six weeks. When remove surgically, it reduces the risk of a cyst coming back.

 

RISK FACTORS

LIPOMA

GANGLION CYSTS

Heredity

 Osteoarthritis

Obesity

Inflammation in the tendons or joints

Liver diseases

Injury to wrists or finger joint

High cholesterol 

Repetitive wrists and fingers activities

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Frequently Asked Questions

The most effective way to stop lipoma from growing is to remove it through surgery. It is the common approach for large and painful growing Lipomas. Surgery also reduces the chances of lipoma reoccurrences. 

Lipomas are non-cancerous tumors that develop due to the overgrowth of fat cells. These fatty tissues do not turn into cancer. Proper diagnosis and treatment are a must for Lipomas.

In some cases Lipomas may disappear but, normally, you will either need medical or surgical treatment for it.

  • Steroid injections
  • Liposuction
  • Lipoma excision

Those who have Osteoarthritis, joint, and tendon injury are at higher risk of developing ganglion cysts.

Usually, a lump or a bump on your wrist, finger, or foot is called a ganglion cyst. The cyst sits below the skin surface and may look like a bubble.

Ganglion cysts are not dangerous. They are benign masses that will not spread to other areas and are not cancerous. 

Immobilization, as this may enhance the development of ganglion getting larger. A doctor can temporarily immobilize the area with a brace or a splint. 

Aspiration – The doctor uses a needle to drain out the fluid from the cysts 

Lipomas are usually a bit deeper in the skin, soft and squeezy, and feel like they can be moved slightly under the skin. 

Ganglion cysts feel like rubber under the skin, and they often have drainage holes discharging white thick material from them. 

Insurance usually covers cysts removal surgeries. Since cysts removal is a medical procedure, and non-cosmetic, the surgeries are covered under health insurance. For further assistance contact HospiOne Team.

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