Dermatology · UKMLA & AKT
Lipoma
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise lipoma — the full SA Note notes add investigations, management, complications and 10 practice questions.
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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