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Classic Lipoma
This non-tender, freely mobile, rubbery-feeling nodule is a classic lipoma. Diagnostic contenders include epidermal cyst and cutaneous metastases.
A 69-year-old man with a past history of non-melanoma skin cancer presented for a total body skin check. A large asymptomatic nodule was discovered on his lower back.
Key point: The nodule was solitary, 12.3 cm by 9 cm, non-tender, freely mobile, and rubbery-feeling. The differential diagnosis usually consists of: epidermal cyst, lipoma, and cutaneous metastases. This is a classic lipoma. The patient reported that he had a “benign fatty tumor” removed from his flank many years previously.
Treatment: The treatment of choice is simple, complete excision. However, the patient was not interested in pursuing this option.
Note: The lack of a punctum, the sheer size of the lesion, and the past history of lipoma removal all favor the diagnosis of lipoma.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
