Examination of Lipoma
Present your self to the patient
Take permission
Wash your hand
Proper exposure keeping patient dignity
Inspection
Site:it is a universal Tumor can be any where but most common in the neck an trunk
Size
Shape (usually spherical in shape)
Surface (lobulated)
Symmetry
skin pigmentation
Surgical scars(indicate recurrence)
Dilated veins(most common in liposarcoma)
Palpation
ask first about site of tenderness
Tenderness
Temperature
Constancy (Soft or firm)
Surface lobulated
Edges(slippery edges)
Fixity to skin and underling structure (freely mobile)
positive fluctuation but negative Cross Fluctuation(Pseudo-fluctuation )
Translumination test may be +ve if large and soft
If became more obvious with contraction of the muscle (Subcutaneous),if it became less obvious it is inter-muscular.
Examine the draining lymph node
