Infiltrating Lipoma in Right Lower Back Muscle.

Hello, I've had a lipoma in my right lower back muscle for a few years. Its approximately 2 inches in diameter and sometimes the muscle under the lipoma feels rather tight at times. I think the lipoma has infiltrated the muscle since it gets tight at times. I'm wondering if I should have it removed; and if so can the lipoma that has infiltraded the muscle be removed as well? What are the chances of the lipoma coming back after removal? I'd really appreciate answers! Thanks, Adam

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5 Doctor Answers | Asked by aj2010 in Mississippi

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Lipoma Excision?

Yes, excision of the lesion is indicated. An MRI study may be useful prior to the procedure. The choice of surgeon will be important. Best wishes.

Lipoma of the back

Lipomas generally produce pain in the local area. It is more out to cause pain if the lipoma extends into the muscle. The lipoma can be removed even if it extends into the muscle. The recurrence rate is low providing the whole lipoma is removed initially.

Infiltrating Angiolipomas

There is a variant of the common lipoma which is called an infiltrating angiolipoma. The fact that you describe you lipoma as infiltrating leads me to think that you have had an MRI indicating that you have this type of tumor. The infiltrating angiolipoma usually affects the area around the vertebrae, and sometimes the lower extremities (besides the well known angiolipoma of the kidneys). Or you may have a more cellular variety of the common lipomas which can infiltrate into the muscle.... more

Arnold R. Oppenheim, MD

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Virginia Beach Dermatologist

Infiltrating Lipoma Management

Although the VAST majority of Lipomas are benign (non-cancerous), a small minority may be malignant. For this reason we need to submit a piece of the lipoma for Pathology examination to learn its exact identity. If you want to remove this fatty tumor, the best way to do it is to surgically excise it with its surrounding wall. The cost of doing so is a permanent scar BUT only in doing it in this fashion can you be assured that the entire mass was removed. While liposuction will flatten the... more

Removal of lipomas

Definitely do not consider liposuction for what you have. A preop CT scan or MRI can determine if there is muscle infiltration or not. An open surgical excision by an experienced surgeon is required and the relatively sooner the better so it doesn't continue to grow.