Lipomas are the most common soft-tissue tumor. These slow-growing, benign fatty tumors form soft, lobulated masses enclosed by a thin, fibrous capsule. Lipomas are common benign mesenchymal tumors. They may develop in virtually all organs throughout the body. The anatomy depends on the tumor site. Subcutaneous lipomas are usually not fixed to the underlying fascia. The fibrous capsule must be removed to prevent recurrence. The cause of lipomas is not completely understood, but the tendency to develop them is inherited. A minor injury may trigger the growth. Being overweight does not cause lipomas.
No treatment is usually necessary for a lipoma. However, if the lipoma bothers, treatments includes, Surgical removal, Steroid injections, Liposuction. A lipomyelomenigocele occurs in approximately one in 4000 births in the United States and females are at increased risk (prevalence female/male ratio 1.5:1). In large series of lumbosacral lipomas the authors have reported that lipomas limited to the terminal filum represented 13 to 26% of lesions accounting for tethered cord.