Lipom

Fettgewebsgeschwulst.

• Gutartiger Tumor des subkutanen Fettgewebes
• Bei multiplen Lipomen spricht man von Lipomatosen
  • Benigne symmetrische Lipomatose
• Lipome können im Rahmen von Syndromen auftreten:
  • Gorlin-Goltz-Syndrom
  • Pringle-Bournevillesche Phakomatose
  • Wermer-Syndrom

Männer > Frauen.

Genetische Prädisposition.

• Insbesondere an der oberen Extremität und an den Oberschenkel kommen elastische, gut abgrenzbare, prall-elastische, halbkugelige, subkutane Knoten vor. In manchen Fällen können diese auch in Musklen einwachsen
• Diffuse schmerzhafte Lipome werden als Lipomatosis dolorosa bezeichnet

Klinsches Bild.

• Exstirpation: In manchen Fällen muss präoperativ ein MRT gemacht werden, um die Abgrenzung zum Muskelgewebe feststellen zu können
• Liposuction

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3. Enzinger FM, Harvey DA. Spindle cell lipoma. Cancer 1975;36:1852-9.
4. Evans HL, Soule EH, Winkelmann RK. Atypical lipoma, atypical intramuscular lipoma, and well differentiated retroperitoneal liposarcoma.A reappraisal of 30 cases formerly classified as well differentiated liposarcoma. Cancer 1979;43:574-84.
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