Subject No .

Slide
Introduction 4
Purpose of the study 5
Demographic Data 6
Types of Lipoma 7
Symptoms of a lipoma 8-9
Causes of Lipoma 10-11
The risk factors for developing a lipoma? 12
How is a lipoma diagnosed 13-16
How is a lipoma treated 17-21
What’s the outlook for someone with a lipoma? 22
Nursing Care Plan 23-25
References 26
A lipoma is a growth of fatty tissue that slowly develops under
your skin. People of any age can develop a lipoma, but children
rarely develop them. A lipoma can form on any part of the body,
but they typically appear on the:
➢ neck
➢ shoulders
➢ forearms
➢ arms
➢ thighs
They’re classified as benign growths, or tumors, of fatty tissue.
This means a lipoma isn’t cancerous and is rarely harmful.
Treatment for a lipoma usually isn’t necessary unless it’s
bothering you.
➢ Learn about lipoma
➢ Identify the etiology of lipoma
➢ Knowing the symptoms and methods of treatment
➢ Learn about shapes and types
 MRN Number: 130000000015

Personal data
➢ Age: 60 years old
➢ Gender: female
➢ Nationality: Saudi
➢ Religion: Muslim
➢ Marital Status: married
➢ Educational Level: primary School
➢ Occupation: home wife
➢ Language: Arabic
➢ Residence: Shenan
➢ Date of interview : 14/01/2021
While all lipomas are made up of fat, there are subtypes based on the way they appear under
the microscope. Some varieties include:
➢ Conventional lipoma (common, mature white fat)
➢ Hibernoma (brown fat instead of the usual white fat)
➢ Fibrolipoma (fat plus fibrous tissue)
➢ Angiolipoma (fat plus a large amount of blood vessels)
➢ Myelolipoma (fat plus tissue that makes blood cells)
➢ Spindle cell lipoma (fat with cells that look like rods)
➢ Pleomorphic lipoma (fat with cells of all different shapes and sizes)
➢ Atypical lipoma (deeper fat with a larger number of cells)
➢be soft to the touch
➢move easily if prodded with your finger
➢be just under the skin
➢be colorless
➢grow slowly
Lipomas are most commonly located in the neck, upper arms, thighs, forearms,
but they can also occur on other areas such as the stomach and back.
A lipoma is only painful if it compresses nerves underneath the skin.
➢It isn’t clear what causes them. Middle-aged men and women tend to get them
more. They also run-in families.

➢Lipomas often show up after an injury, though doctors don’t know whether
that’s what makes them form.

➢Inherited conditions can bring them on. Some people who have a rare
condition known as Madelung’s disease can get them. This most often affects
men of Mediterranean ancestry who have alcohol use disorder.
The cause of lipomas is largely unknown, although there may be a genetic cause in individuals
with multiple lipomas, according to the Cleveland Clinic. Your risk of developing this type of skin
lump increases if you have a family history of lipomas.
This condition is most prevalent in adults between the ages of 40 and 60, according to the Mayo
Clinic.
Certain conditions may also increase your risk of lipoma development. These include:
1. Adiposis dolorosa (a rare disorder characterized by multiple, painful lipomas)
2. Cowden syndrome
3. Gardner’s syndrome (infrequently)
4. Madelung’s disease
5. Bannayan-Riley-Ruvalcaba syndrome
➢Healthcare providers can often diagnose a lipoma by
performing a physical exam. It feels soft and isn’t
painful. Also, since it’s made up of fatty tissues, the
lipoma moves easily when touched.
➢In some cases, a dermatologist might take a biopsy
of the lipoma. During this procedure, they’ll sample a
small portion of the tissue and send it to a lab for
testing.
X-ray of a lipoma
➢This test is done to rule out the possibility of cancer.
Although a lipoma isn’t cancerous, it can rarely mimic
a liposarcoma, which is malignant, or cancerous.
➢If your lipoma continues to enlarge and becomes
painful, your doctor can remove it to relieve your
discomfort as well as rule out liposarcoma.
➢Further testing using MRI and CT scans may only
be required if a biopsy shows that a suspected
lipoma is actually a liposarcoma.

Medical ultrasonography of a lipoma in the thenar

eminence: It is hyperechoic compared to adjacent
muscle, and relatively well-defined, with miniature
hyperechoic lines.
 T1 MRI of the same lipoma: High
intensity signal mass with regions
of ill-defined margins.
MRI showing lipoma of the arm
Ultrasonography of a liposarcoma for comparison: In
this case a heterogeneous mass consisting of an
upper hyperechoic portion, corresponding to
lipomatous matrix, and areas of hypoechogenicity
corresponding to nonlipomatous components.
X-ray showing lipoma
Ultrasonography of a liposarcoma mimicking
lipoma. A homogeneous hypoechoic mass
presenting with the same appearance of lipoma. It
was clinically distinguished by having rapid growth.
A lipoma that’s left alone usually doesn’t cause any problems. However, a
dermatologist can treat the lump if it bothers you. They will make the best
treatment recommendation based on a variety of factors including:
➢ the size of the lipoma
➢ the number of skin tumors you have
➢ your personal history of skin cancer
➢ your family history of skin cancer
➢ whether the lipoma is painful
➢The most common way to treat a lipoma is to remove it through surgery. This
is especially helpful if you have a large skin tumor that’s still growing.
➢Lipomas can sometimes grow back even after they’re surgically removed. This
procedure is typically done under local anesthesia through a procedure known
as an excision.
➢ Liposuction is another treatment option. Since lipomas are fat-based, this
procedure can work well to reduce its size. Liposuction involves a needle
attached to a large syringe, and the area is usually numbed before the
procedure.
➢ Steroid injections may also be used right on the affected area. This
treatment can shrink the lipoma, but it doesn’t completely remove it.
➢ Lipomas are benign tumors. This means that there’s no chance that an
existing lipoma will spread throughout the body. The condition will not
spread through muscles or any other surrounding tissues, and it isn’t life-
threatening.
➢ A lipoma can’t be reduced with self-care. Warm compresses may work for
other types of skin lumps, but they aren’t helpful for lipomas because
they’re a made up of a collection of fat cells.
➢ See your healthcare provider for treatment if you have any concerns about
getting rid of a lipoma.
Background: Medical information:
Age: 70 File NO: N/A.
Gender: female Date and time of admission: N/A.
Allergies: N/A
Diagnosis: lipomas.
Marital Status: Married
Nationality: N/A.
Education Level: N/A.
Occupation: N/A.

Chief complaint:
Complaining of lack of mobility in the right wrist.
“this tumor is so large I can’t move my hand”
➢ Sabah is a 70-year-old female with multiple lipomas on the left and right arm,
neck, back and chest. The patient was first diagnosed with lipomas in 1998;
furthermore, the patient’s sister also has lipomas, which may be genetically
linked. The tumor located on the right arm has increased in size and as a result
prevents the patient from achieving optimum mobility in the right wrist. Several
lipomas have been removed causing numerous scars. However, due to the
recurrent nature of these lipomas it is likely that they will constantly reoccur and
therefore the patient will require lifelong surveillance. For future treatment
steroid injections will be attempted though it has been advised that success is not
likely and consequently lipomas are not to be removed unless symptomatic or in
an inconvenient location.
Previous hospitalizations: N/A
History of chronic illnesses: diabetes mellitus
Allergies: N/A
Medication: Glucophage
Accidents, surgery/procedures: 4 lipomas procedures / appendix removal
History of mental/physical illnesses : N/A.
Menstrual & obstetric history: age of menopause.

History of chronic illnesses : patient sister age: 67 health statues: diagnosed with lipoma.

N/A. The Patient

Physical examination:
Apparent health: fair
LOC: fully conscious
Signs of distress: anxiety
Built/ Hight: normal
Nutritional status / Wight: normal
BMI: normal
Dressing/ grooming & personal hygiene: normal
Oder of body & breath: no
Facial expression/ posture/ gait and motor activity: abnormal
Vital signs: BP : 132/83 mmHg., Pulse :68 b/m., Temp. : 36.5 c,
RR : 70 b/m and spO2 : 97% on room air.
Assessment/ provisional diagnosis:
Patient previous tests and x-ray indicate the diagnosed lipoma ;
however, an MRI scan is required to confirm the growing
lipoma on the right wrist to confirm its nature.
 GENERIC NAME CLASSIFICATIONS
Steroid are chemicals that
occur naturally in the body.
Steroid medicines can be used
Deoxycholate to reduce inflammation and
are used to treat many
different conditions, including
lipomas.
DOSE, ROUTE AND
MECHANISM OF ACTION
Steroid FREQUENCY
Specific
Adjunctive treatment in
bacterial meningitis. • The patient was given
General Deoxycholate 1.8 mg through IV
Cerebral edema Allergic and every 6hours to decreases lipoma
inflammatory conditions
Shock Tuberculosis meningitis
Nursing considerations
• Determine whether patient is sensitive to other
corticosteroids
• Most adverse reactions to corticosteroids are
dose-or duration-dependent
SIDE EFFECTS/ADVERSE EFFECTS
• CNS: euphoria, insomnia, psychotic behavior,
pseudotumor cerebri, vertigo, headache, paresthesia,
seizures, depression.
• CV: hypertension, edema, arrythmias, thromboembolism.
• EENT: cataracts, glaucoma.
• GI: peptic ulceration, GI irritation, increased appetite,
pancreatitis, nausea, vomiting
Nursing Assessment
Subjective:
• Patient verbalized: “this
tumor is so large I can’t
move my hand”
Objective:
• looks anxious and tired.
Nursing Nursing Nursing Intervention Rationale Nursing
Diagnosis Planning Evaluation
• risk of allergy Short term • Assess the respiratory • Histamine is the primary mediator Goal met:___
medication. Patient will rate, rhythm, and depth, of anaphylactic shock. It causes Partially
smooth muscle contraction in the met:____
maintain an and note for changes such
bronchi as a result of the Not met:____
effective breathing as: stimulation of histamine receptors
pattern, as − Coughing. (H1). As the anaphylactic reaction
evidenced by − Dyspnea. progresses, the client develops
relaxed breathing − Increased shortness of dyspnea, wheezing, and increased
at normal rate and breath. pulmonary secretions. Vascular to
interstitial fluid shifts to contribute
depth and absence − Stridor.
to respiratory distress through
of adventitious − Tachypnea. swelling in the upper airways.
breath sounds. − Use of accessory
muscles. • Life-threatening situations such as
Long term − Wheezing. respiratory distress and shock can
Patient will show • Assess the client’s anxiety produce elevated levels of anxiety
within the client.
stable vitals when level.
• Systemic antigen-antibody
examined. • Assess the client for the immune response can result in
sensation of a narrowed severe bronchial airway narrowing,
airway. edema, and obstruction. As airway
• Observe for changes in gets narrow, client demonstrates
color of the skin, tongue, increase respiratory effort.
and mucosa.
• Bluish discoloration of these body
parts is considered a medical
emergency.
➢ Medication: patient will take steroid injections for her lipoma
➢ Exercise: patient will be advised to walk daily to improve mobility in her
upper body.
➢ Health teaching: patient should report any additional growth in her lipoma
and get routine check more often.
➢ O-PD follow up: -
➢ Diet: patient should stay away from oil and carbs in her diet
➢ steroid treatment may not be affective, other option for the case
could be liposuction, as stated the patient do require lifelong
observation and treatment.
➢ https://www.healthline.com/health/most-painful-surgeries
➢ https://en.wikipedia.org/wiki/Lipoma
➢ https://www.webmd.com/skin-problems-and-treatments/what-is-a-lipoma