Brief introduction of disease
Subcutaneous lipoma (lipoma) is a benign tumor of adipose tissue. It is composed of mature adipose tissue and can occur anywhere in the body with fat. Lipoma has a thin fibrous intima and many fibrous cords, which form many gaps vertically and horizontally. Lipoma is most common in the subcutaneous tissue of neck, shoulders, back, buttocks, breast, limbs, face, scalp, scrotum and labia, followed by retroperitoneum and gastrointestinal wall. Very few can appear in tissues that are originally fat-free. If there is a large proportion of fibrous tissue in the tumor, it is called fibrolipoma.
Disease classification
According to the number of lipomas, there are two types: single lipoma and multiple lipomas. This kind of tumor is common in shoulders, back, buttocks, limbs, waist, abdomen and inner thighs, and head diseases are also common. Lipomas located in subcutaneous tissue vary in size, most of which are oblate or lobulated with clear boundaries; People with unclear boundaries should beware of the possibility of malignant lipoma. A single lipoma is called solitary lipoma. Two or more are called multiple lipomas.
According to different parts, it can be divided into subcutaneous lipoma and angiomyolipoma (also known as hook tumor). According to the location of lipoma, subcutaneous lipoma is a flat or lobulated, soft and well-defined local tumor at the lower limit of the skin. Soft, pushable, normal superficial skin, slow development, up to hundreds, often under the skin. Angiomyolipoma-Hamartoma is a lipoma (also known as renal hamartoma and hepatic hamartoma) located between the smooth muscle tissues of capillaries in various organs (kidney and liver are common).
cause of a disease
Subcutaneous lipoma refers to "lipogenic factor". There are also carcinogenic factors in patients' somatic cells. Under normal circumstances, this carcinogen is in an inactive state (inactive state), and subcutaneous lipoma generally does not develop. However, under the influence of various internal and external environmental stimuli, the activity of this lipogenic factor is active and has certain activity. When the body's resistance decreases, the ability of immune cells such as lymphocytes and mononuclear phagocytes to monitor tumorigenic factors decreases. Coupled with the change of internal environment, the stimulation of chronic inflammation and the induction of abnormal body fat metabolism, the activity of lipogenic factors is further enhanced, which combines with some gene fragments in normal cells of the body to form abnormal gene mutation, which causes abnormal proliferation of normal fat cells and surrounding tissue cells, leading to fat tissue deposition and protruding to the body surface or various internal organs, called lipoma. [ 1]
clinical picture
Subcutaneous lipoma is a very common skin lesion, which is composed of normal fat cells and accounts for about 80% of benign soft tissue tumors. There is no obvious special reason, and it often occurs in deep tissues such as subcutaneous or internal organs. Mature adipocytes are arranged in groups, and most of them are wrapped by fibrous outer membrane. But sometimes there are adipose tissues with irregular edges scattered in muscle tissues. Lipoma is common in the subcutaneous fat layer of the head, neck, shoulders and back. It can be multiple and can occur at any age, but it is most common in 40-60 years old. Lesions usually grow slowly, feel round, soft, mobile and painless.
The incidence rate is increasing year by year.
With the diversification of human dietary structure, abnormal dietary rhythm and the aggravation of environmental pollution, the incidence of lipoma is gradually increasing, such as high cholesterol diet, long-term alcoholism, excessive consumption of irritating diet, and disorder of diet and life, such as bad eating habits such as bad breakfast or skipping breakfast, overeating at dinner, excessive pesticide, food additives and ionizing radiation, which are directly and indirectly related to the formation of lipoma, thus giving birth to lipoma.
Diagnosis and differentiation
1. The diagnosis of this disease is mainly based on symptoms and physical examination. Especially the surface features of tumors.
2. In order to distinguish it from other diseases, the examination items may include a check box "b".
Disease treatment
Subcutaneous lipoma generally does not need treatment, but it is large and hinders other functions of the body. Those who have conscious symptoms can be treated conservatively with traditional Chinese medicine first, which can achieve certain results. The specific treatment can be based on invigorating spleen and qi, regulating qi and resolving phlegm, and modified with Erchen Decoction. Codonopsis pilosula, Jiang Banxia, Poria cocos, fried bamboo eggplant with ginger juice each 65438±02g, Pericarpium Citri Tangerinae, fried atractylodes, fried white mustard seed, spina gleditsiae and prepared Rhizoma Cyperi each 65438±00g, Luffa sponge, Shā rotto Katakuri, Arisaema cum bile and fried Dictyophora each 6g, decocted in water, with 65438 0 doses per day, and taken three times. Addition and subtraction: Radix Astragali, Baiyao, Fritillaria thunbergii and Pericarpium Citri Tangerinae are added into the lump; Rash plus shoulder and back notopterygium root; Adding Radix Curcumae and Radix Bupleuri into the trunk; Add parched Eucommia ulmoides Oliv. And radix Cyathulae to lumbosacral region. External treatment: Shā rotto Katakuri and vinegar can be ground into thick juice and applied to the affected area 3-5 times a day until the tumor disappears. Operation: If conservative medical treatment is ineffective, those with obvious symptoms should be surgically removed. Tumor lobules extending into surrounding tissues should be completely eradicated during operation to avoid recurrence. Surgical treatment is recommended!
pay attention to the diet
Start with a balanced diet: 1. Eat more foods containing fiber, because fiber has many important physiological functions. Such as: relaxing bowels, lowering blood cholesterol, lowering blood sugar, improving intestinal flora and preventing cancer. 2, comprehensive diet: 1) control the intake of fat in the diet. Some experts suggest that the energy provided by fat should not exceed 7- 10% every day. 2) Increase the proportion of vegetables, fruits and cereals in the diet, and the intake of dietary fiber is above 30g/ day. 3) Reduce the intake ratio of animal foods such as eggs, meat and milk. 4) Control salty, smoked and baked foods in the diet, avoid eating moldy and deteriorated foods, and reduce the intake of mutagenic/carcinogenic substances in foods. 5) Drink alcohol in moderation. The vegetarian diet we advocate is not a single diet that advocates whole grains and pickles. We advocate a balanced diet with cereals (including beans) as the mainstay and animal foods (poultry, meat, aquatic products, milk and eggs) as appropriate. In terms of food varieties, both plants and animals require diversity and freshness. This dietary guide is not only beneficial to the prevention of lipoma, but also meets the requirements of preventing other chronic diseases and promoting health.
Second: avoid contact with other carcinogens as much as possible to achieve the purpose of prevention, thus improving people's quality of life and fasting donkey meat and dog meat.
I hope it helps you.