Dermatology · UKMLA & AKT
Lipoma
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Soft, doughy consistency - hallmark feature, like soft putty beneath the skin
- Freely mobile - slides beneath the examining finger; overlying skin moves freely
- Well-defined edges - smooth, distinct border from fibrous capsule
- Normal overlying skin - no erythema, punctum, or tethering (distinguishes from epidermoid cyst)
- Non-tender - tenderness suggests angiolipoma or nerve compression
- Size - typically 0.5-10 cm; ~80% under 5 cm
- Multiple lipomas - minority of patients; consider underlying syndrome (Gardner, Dercum, Madelung disease)
Angiolipoma - variant with vascular component; can be painful/tender unlike typical lipoma.
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