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Lipom

Version 114.1 von Thomas Brinkmeier am 2025/01/07 23:45

Titel
Lipom
Kategorie
Abschnitt L
Eintrag

Lipom

Def: gutartiger Tumor aus reifem Fettgewebe

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Vork: sehr häufig

Ät: unklar

TF: ggf. chronische Druckkompression

Lit: Int J Dermatol. 2022 Jan 20. http://doi.org/10.1111/ijd.16053

KL: weicher, subkutaner, rundovaler, lappiger Tumor

Hi: reifes Fettgewebe, das von einer zarten bindegewebigen Kapsel umgeben ist  

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So: - Angiolipom

Hi: Fettgewebe mit zahlreichen Kapillaren

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KL: typischerweise schmerzhaft

Merk: Akronym "Lend an egg" (s. Liste der Differentialdiagnosen: Tumoren, schmerzhaft)

Note: Das Angiomyolipom tritt bevorzugt in der Niere bei tuberöser Sklerose auf.

- Lipofibrom

Syn: Fibrolipom

Engl: fibrolipoma

Hi:  

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Lit: JAAD Case Rep. 2024 Jan 26;48:36-41. http://doi.org/10.1016/j.jdcr.2024.01.015

- Spindelzelllipom

Engl: spindle cell lipoma

Def: pseudosarkomatöses Lipom

Vork: meist Männer

Lok: Nacken und oberer Rücken

Hi:  

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Lit: -  

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- Dermatol Online J. 2024 Mar 15;30(1). http://doi.org/10.5070/D330163290

- pleomorphes Lipom

Def: pseudosarkomatöses Lipom

Hi: Nachweis von Zellatypien und vereinzelten Riesenzellen

- Adipositas dolorosa Dercum

Syn: Morbus Dercum, Lipomatosis dolorosa

KL: multiple Lipome mit starker Druckdolenz

- sklerotisches Lipom

Engl: sclerotic lipoma

DD: sklerotisches Fibrom

Lit: J Cutan Pathol. 2019 Oct 12. http://doi.org/10.1111/cup.13593

- Lipoblastom

- Hibernom

- Lipomatosen (inkl. zervikale symmetrische Lipomatose, Madelung/Launois-Bensaude)

Lit:  

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Th: Indikation besteht nur bei Symptomen oder dringendem Therapiewunsch

Meth: - Inzision der darüberliegenden Haut und Ausschälen des Lipoms

Neg: Blutungen

- Expression nach Schaffung eines Zugangs per Stanzbiopsie

Neg: Rezidive

- Liposuktion

Bed: Methoder der Wahl bei sehr großen Lipomen, deren Operation zu großen Narben führen würde

- Laserlipolyse

Mat: - Dioden-Laser 980 nm

Lit: Dermatol Ther. 2011 Jan-Feb;24(1):125-30

- Nd:YAG-Laser 1064 nm

Lit: Int J Dermatol. 2009 Nov;48(11):1228-32

PT: CS

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