Discussions By Condition: I cannot get a diagnosis.

What Type of Doctor/Specialist Would I See For

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • June 26, 2009
  • 08:21 AM

Hope this is ok to post here...can't seem to find the right area to ask. :confused:

What type of Specialist would I need to see in regards to Lipoma/Angiolipoma ?
This is in regards to Abdominal/Chest/Ribs. I would like to speak with a specialist about exploratory surgery for possible removal of these, as I believe the lipomas I have are pressing on nerves hence the large rib lump and severe pain, never know I might be onto something to help my undiagnosed pain, I've got to try anyway

I've researched abit on Google but can't seem to find the right info, I need someone who specializes in this area, so if any one has ideas please let me know.

Thankyou :D
Samantha

http://www.undiagnosedillness.org

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2 Replies:

  • If you're concerned about any scarring or dimpling subsequent to the removal, then any average plastic surgeon will do. I would suggest dermatology as well here, but it has to be the right one. If you're more concerned about removal for other concerns, then your primary care physician can actually remove the lipomas. In most all instances, lipomas arise in characteristic areas of the body where adipose tissue is plentiful, ie flanks, abdomen, posterior aspect of the arms, less commonly the chest or back and rarely the legs. Lipomas tend to have less circumscribed borders and are typically free moving under the skin, with a firm rubbery consistency and are rarely painful.If they are not movable to some extent under the skin and are more firm than described, it could be a fibroma which is a little more difficult to remove. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
  • Thanks for this information much appreciated :)I believe I need to have this Lipoma looked at more closely with expertise in this area, as the technician who scanned only noticed one or two, although I can feel many many more.Plus the fact you've just confirmed my research (will small exception) that Lipomas are non painful (mine are extremely painful) which leads me to believe they are situated on nerves/nerve fibers. Perhaps Angiolipoma's which are painful. ?? Mine are not free movingMaybe even a general surgeon could help :confused:There is no way I could have these removed without being completely knocked out, I can barely touch from my rib cage down through abdomen (above naval) without screaming out in agony. Even walking irritatesHow would my primary care physician remove the lipomas ? ? they are buried deep under layers of fat and muscle, they would have to cut in rather deep....?? they are not visible to the naked eye, they are pea shaped hard lump buried very deep under the skin............... ?? I would have assumed surgery ??? Thanks again, gives me some idea where to go from here. :DSamanthahttp://www.undiagnosedillness.orgIf you're concerned about any scarring or dimpling subsequent to the removal, then any average plastic surgeon will do. I would suggest dermatology as well here, but it has to be the right one. If you're more concerned about removal for other concerns, then your primary care physician can actually remove the lipomas. In most all instances, lipomas arise in characteristic areas of the body where adipose tissue is plentiful, ie flanks, abdomen, posterior aspect of the arms, less commonly the chest or back and rarely the legs. Lipomas tend to have less circumscribed borders and are typically free moving under the skin, with a firm rubbery consistency and are rarely painful.If they are not movable to some extent under the skin and are more firm than described, it could be a fibroma which is a little more difficult to remove. Best regards, J Cottle, MD
    Anonymous 42789 Replies Flag this Response
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