Lipoma: The Daily PANCE Blueprint

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Lipoma: The Daily PANCE Blueprint

Which of the following statements best describes a lipoma?

A. A painful, rapidly enlarging malignant tumor found in deep muscle tissue
B. A benign soft-tissue neoplasm composed of fat cells, typically presenting as a painless subcutaneous nodule
C. A firm, non-mobile lesion most commonly located on the lower extremities
D. A benign tumor arising from smooth muscle, often diagnosed with MRI
E. A subcutaneous painful lesion that routinely requires biopsy for diagnosis

Answer and topic summary

The answer is B. A benign soft-tissue neoplasm composed of fat cells, typically presenting as a painless subcutaneous nodule

Lipomas are the most common benign soft-tissue neoplasm, made up of fat cells enclosed in a capsule. They typically involve subcutaneous tissue. The lesion will classically present as soft, painless subcutaneous nodules around 1-10 cm. The most common locations include the trunk and upper extremities. Diagnosis is clinical, but an ultrasound can be obtained if there is any uncertainty, if the lesions start rapidly enlarging, or if it causes pain. Surgical removal can be done if needed. Indications for removal include pain, cosmetic issues, or an uncertain diagnosis.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Dermatology ⇒ Other Dermatological Disorders (PEARLS) ⇒ Lipomas/epithelial inclusion cysts

Also covered on the Family Medicine rotation content topic list

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