Lipoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Shanshan Cen, M.D. [3] Sahar Memar Montazerin, M.D.[4]

Overview

Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency. This mass often occur in the neck, shoulders, back, arms and thighs. Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and locatins. Neuromuscular examination of patients with lipoma may be remarkable for positive Tinel's sign and Phalen's sign. Lasègue's sign may be positive in case of lumbosacral lipoma.

Physical examination

• Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency.
• Lipomas often occur in the neck, shoulders, back, arms and thighs.

Appearance of the Patient

• Patients with lipoma usually appear normal.

Vital Signs

• Vital signs of a patients with lipoma are stable.

Skin

• Skin examination of patients with a lipoma is usually normal.
• Subcutaneous lipoma is palpated as a mobile, soft lump which is usually painless.

HEENT

• HEENT examination of patients with a lipoma is usually normal.

Neck

• Neck examination of patients with a lipoma is usually normal.

Lungs

• Pulmonary examination of patients with a lipoma is usually normal.

Heart

• Cardiovascular examination of patients with a lipoma is usually normal.

Abdomen

• Abdominal examination of patients with a lipoma is usually normal.

Back

• Back examination of patients with a lipoma is usually normal.

Genitourinary

• Genitourinary examination of patients with a lipoma is usually normal.

Neuromuscular

• Neuromuscular examination of patients with a lipoma is usually normal.
• Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and location.
• Lipomas of tendon sheaths and joints may present with positive Tinel's sign and Phalen's sign.
• Lumbosacral lipoma may cause positive Lasègue's sign.

Extremities

• Extremities are common locations for lipoma development and in the presence of lipoma, a mobile lump with a soft consistency will be palpated.

Extremity

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  Lipoma. Adapted from Dermatology Atlas.

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  Lipoma. Adapted from Dermatology Atlas.

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  Lipoma. Adapted from Dermatology Atlas.

Multiple Symmetric Lipomatosis

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.

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  Multiple Symmetric Lipomatosis. Adapted from Dermatology Atlas.