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Family Medicine  (Expert Forum)
 | 
lipoma removal
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

lipoma removal

by ytsisles, Apr 28, 2005 12:00AM
i have had a lipoma for over 20 years. lately it has gotten larger and i want it removed.  it is about 2.5". i am very active and work out 6 times a week.  what sort of down time will i have afterwards?  can one this large be remove non-invasivly?  funny my husband has one as well-not as large-on the opposite side as mine.  is this kind of thing hereditary?  our kids are worried they'll get one!  i will add that i have itp(since 1996)-my platlet level runs around 50,000.  i am under the care of a hemotologist with no treatment at present.  will i have to get a gamma goblin injection prior to removal?
thank you for your time.

by Kevin Pho, MD, Apr 30, 2005 12:00AM
A lipoma of that size is normally removed by a general surgeon.  I'm not sure what "non-invasively" means in the context of a lipoma - I think there is only one surgical method to take it out.  However, I am not a surgeon, so don't quote me on that.  

For a procedure like lipoma removal, a platelet count of above 50,000 is necessary.  In surgeries where the risk is greater, a platelet count of above 100,000 is necessary.  This should be discussed with your personal physician.  

If the platelet count is too low, a course of prednisone or a dose of intravenous gamma globulin would be necessary.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
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