Lipomas are slow growing lumps that occur due to overgrowth of fat cells. They present as doughy, moveable, and non-tender lumps usually found underneath the skin, but may occasionally be deeper. Lipomas occur in 1 in every 1,000 people and commonly grow on the upper back, shoulders, and abdomen. In most cases, lipomas are painless unless they affect joints, nerves, or blood vessels. A physical examination is the easiest way to diagnose a lipoma, but imaging studies and biopsy may aid in the diagnosis when it is large, has unusual features, and appears deep. No treatment is usually necessary for a lipoma; however, if the lipoma is painful or growing, removal may be recommended by excision or liposuction. Here, we present a 35-year-old male who has a large and deep 8-year-old lipoma on his upper back. The lipoma was excised and sent for biopsy.
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