It Has Grown So Large and the Doctor Feels It May Damage nerves and veins or muscle? My brother has one on his right upper arm. His left arm is 16 inches in diameter but the right one is 28 inches in diameter due to what the doctor tells us is a lipoma. The doctor says it would be about a 12 hour surgery to remove this. So he advised against surgery due to the risks of losing use of the arm or the limb altogether. My brother is also diabetic. It has lately begun to hurt and cause limited use of his arm and appears to still be growing. Any advice?
What Do You Recommend if the Lipoma is Considered Inoperable?
Doctor Answers (5)
Get a second opinion from a BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY) who knows the anatomy and can operate safely and with reasonable risk.
This large lipoma need to be woked up first to amke sure it is a benign lipoma and not a liposarcoma.
MRI, BIOBSY and a skilled surgeon.
You have to understand that ther are risks in every surgery
their isnt a case where a lipoma in inoperable. risk of operating may be greater than doing nothing. but if this thing is so large and growing it could damage the nerves permanently by doing nothing. i would seek a second or third opinion on this.
this doesnt sound right. lipomas usually have a pseudo capsule in the arm making them very easy to excise.
i would get it out by someone who knows the anatomy of the arm. ie a plastic surgeon or hand surgeon who does a lot of soft tissue surgery.
Lipomas are not inoperable
The lipoma which you describe is extremely large but that would not militate against removal. My first concern is diagnosis. Has the mass been confirmed to be a lipoma? Next, in a lesion of this size, malignant degeneration cannot be ruled out. I definitely recommend a comprehensive diagnostic workup including CT scan and that you consult with a board certified plastic surgeon. Best wishes.
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It would be terribly rare for a lipoma to be 16 or more inches. You need a biopsy of the lesion first to be sure that is what it is. Then just find a skilled surgeon who is comfortable with this. It should be manageable but first you need to know what it is . Small biopsy first .
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