I have a question,I have a fatty tumor Lipoma om my bck in the middle of my spine and it does seem to have gotten a little bigger do you think I should get it removed?
Person's Gender: Female
Person's Age: 49
My Dr. hasn't seen it for a year,she has been deployed to Afghanistan,so she doesn't know that it has grown
Hi there. I'm happy to answer your question. Are you still online?
I am an Orthopedic Surgeon and would like to help answer your questions. Please understand that the information that I provide is for educational and informational purposes and is not treatment or meant to substitute for being treated by a live physician. I get online once a day and therefore please bear with me if you post and I haven't responded yet. I will in due time. Please do not accept until you have had your question answered in a satisfactory fashion.
When you say in the middle of your back/spine, how close to the surface is it? How large is it?
How do you know it is a lipoma? Did you have an MRI? Did they ever do a needle biopsy of it?
Well,the size of a 50 cent peice and fairly close to the surface it does feel sore to the touch.
Lipomas are benign fatty tumors that are usually detectable on physical exam. However an MRI would show classic features of a lipoma. A definitive diagnosis could only be made by a biopsy of the tissue.
The one thing is that there is a tumor very similar to lipoma called a liposarcoma.
My PA told me it was a Lipoma a while ago-but it has grown since I'ev seen her.
I have not had a biopsy-that sounds like a good idea
A liposarcoma is an aggressive lipoma that needs to be removed because it can grow very large and spread. However the features on MRI are different. Once again a tissue sample would be needed to confirm liposarcoma.
Liposarcomas grow rapidly and are usually much larger than a 50 cent piece.
So it is probably a lipoma but I haven't examined you or seen an MRI of it so cannot say.
Did they do an MRI?
This one has been on my back about 5 yrs., I have not had a MRI
OK well usually the biopsy of a small lipoma is called an excisional biopsy meaning that they take the whole thing out and then look at it under a microscope to define if it really is a lipoma. So a biopsy is essentially removal of it.
Best plan would be to go see another doctor since your current one is not available.
I hope I have answered your question in a satisfactory manner. If I have not, please let me know what additional information I can provide. Thanks.
ok-when my PA gets back from ROTC in Texas I will ask her, if it bothers me more before she comes back I will get in and get it checked-we do not have very many Dr.'s
Great. Good luck.