cytology report

Thanks for replying to my earlier question.
I am sending the report of my inconclusive pathology report.

I was 8 weeks pregnant when I took the needle biopsy.
My lump in my right armpit is very soft , movable , large swelling and was initially diagonised as  lipomas by my surgeon.
Its been there for 4-5 years. I am 26 years old Asian.

"
Diagnosis- Atypical

Comment
The specimen contains adipose tissue with probable atypical lipocytes and cells occuring in tight clusters with cleared chromatin and nucleoli. Some of these cells are intersperesed within the adipose tissue and others in separate group. The differential could include a benign lesion of adipose or neural origin but is not diagonistic , the possiblity of malignancy is not excluded. Biopsy is suggested if clinically warranted."


I am going for a surgery in June.Doctor said he would give me mild sedative. IS it safe in pregnancy. I would like to have a second opnion of what it could be. what does atypical lipocytes mean. What cancer is it linked to.

[CCF-RN,MSN-JS]

Dear Annautum, Removal of this lump under local anesthesia is likely safe during pregnancy.  Lipocytes are fat cells.  Atypical would mean that they do not look exactly like a normal fat cell would look under the microscope.  Benign (non-cancerous) tumors called lipomas are fairly common.  Malignancy is rare but can be found in a lesion with the clinical appearance of a lipoma.  Some surgeons recommend complete removal of all clinical evidence of a lipoma to exclude a possible liposarcoma, especially in fast-growing lesions.

[Annautum]

Thanks Doctor for all your help. I underwent a surgery on Monday and it turned out that it was lipoma. So once again I appreciate this forum which is helping many women like me to get over the problems. Thanks