What are the chances of non-vascular lipomas being malignant?

Question

Hello doctor,

I have had some lipomas for a long time they were all checked to be nonvascular. However in the past three to six months I have noticed a lot more maybe around 40 or more in total, some are like round balls, and some are flat. The round ball ones are sharp and burning when touching them. They are located everywhere, six or seven on both arms. a few on the thighs, and behind the knee, and most of them are less than 10 mm. I have been dealing with a low-grade fever of up to 98 to 99.68 degrees Fahrenheit for three months now (usually between 10 am and 10 pm then it stops at night). The doctor said on examination they do not feel like a lipoma but ultrasound says they are. What are the chances of this being malignant? I need to know what your thoughts are and what the best approach is. I have recently done blood tests and have normal CRP, ESR, and blood reports. Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

Accordingly, the reports attached (attachment removed to protect the patient's identity) show multiple lipomas. A biopsy is advised to rule out possible malignancies associated with liposarcoma. But chances of lipoma turning to liposarcoma are very rare. Lipoma is a harmless lesion and usually, no treatment is required if painless. If painful, surgical removal is advised. A surgical reference is advised. I suggest you take a tablet of Diclomol once after food for three days if the pain is present. Consult your specialist doctor, discuss with them, and take medications with their consent.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Vascular involvement could be benign or malignant. So a biopsy is advised to rule out malignancy. If painful, visit surgical OPD and get it removed.

Thank you.