Usefulness of Homoeopathy in Management of Cases of Lipoma

Usefulness of Homoeopathy in Management of Cases of Lipoma

Lipoma

ABSTRACT- Lipoma can be defined as subcutaneous tumour that are composed of adipose cells, mostly enclosed by a thin layer of fibrous tissue.Clinically , they are mostly seen in cephalic part of body but can also be seen in areas like thighs.They are mostly benign and the age of onset can vary.Sometimes they can be associated with determined disorders such as multiple hereditary lipomatosis, Gardner syndrome, adiposis dolorosa, Madelung disease and Dercum’s disease .They are no threat to patient unless they are located on joints or growing rapidly.Treatment is mostly surgical excision with  chances of recurrences. Homoeopathy can treat such diseases effectively and reduce the possibilty of recurrences.

KEYWORDS–Lipoma, Homoeopathy, lump

INTRODUCTION-

Definition- Lipoma can be explained as a subcutaneous mesenchymal tumour. They mostly contain lobulated, slow growing, mature adipose tissue which have slightest amount of connective tissue stroma. Lipomas can have certain unusual forms such as – angiolipoma,chondroid lipoma, lipoblastoma, myolipoma, pleomorphic lipoma, spidle cell lipoma, intramuscular lipoma, intermuscular lipoma, lipomatosis of nerve, lipoma of tendon sheath and joint, lipoma arborescens, multiple symmetric lipomatosis diffuse lipomatosis, adiposis dolorosa and hibernoma. [1,2, 3]

Etiology-The origin of lipomas is ambiguous, however some work show about two-third of genetic link like HMGA2 gene located on chromosome 12q14.3[9].Other studies also shows direct association between trauma and lipoma production. Common risk factors other than mentioned above are: obesity,alcohol abuse, liver disease & glucose intolerance.[4,6]

Clinical features –

  • Patient often present with a soft, mobile mass under the skin.
  • Mostly these masses are painless until they impinge joints, nerves or blood vessels.
  • Typically these are seen in upper part of body, but rarely appear in muscle and organs.
  • Pericallosal lipoma more commonly transpire in interhemispheric fissure, which is abnormal. This is the most common site for intracranial lipoma.
  • Lipomas are generally less than 2 inches wide but can be larger.
  • Usually they are singular however some patients can have more than one.
  • Typically seen in patients between the ages of 40 and 60 with no gender biasness.[6]

Histological variants of lipoma are:-

  • Adenolipoma of skin- Superficially located may not be well encapsulated. Comprise entrapped eccrine glands. However they cannot be considerd related to lipomas.[10]
  • Angiolipoma- Frequently multiple; circumscribed subcutaneos mass. When they occur as infiltrating intramuscular tumours studied as intramuscular hemiangiomas.Angiolipoma of spine is consider as a distinct entity.Contain mature fat with several small blood vessels. Vascular components are patchy; predominantly contain capillaries and almost have fibrin thrombi. Cellular variant of such lipom are                              

having almost 95% cellular angiomatous tissue with abundant spindle cells , mild pleomorphism and their miotic figures are incospicuous.

  • Cartilaginous metaplasia in a lipoma- Area having lipoma has true cartilage formation aand can coexist with osseous metaplasia.
  • Chondroid lipoma-Well – circumscribedand can be encapsulated  .Mainly composed of three components in all cases : mature adipose tissue interspersed or compartmentalized, myxoid or hyaline chondoid matrix., alcian blue and colloidal iron positive.[11]
  • Fibrolipoma- Have focally increses fibrous tissue mainly involving nerve
  • Myelolipoma- Fat component is predominant with lymphoid components. Most often seen in adrenals and then in pelvis.[12]
  • Myolipoma- Contain mature fat, bland and smooth muscle .[13]
  • ·         Myxolipoma- Lipoma having myxoid areas
  • Ossifying lipoma- This variant lipoma composed of metaplastic bone.
  • Sclerotic lipoma- It is a circumscribed subcutaneous nodule with extensive sclerotic collagen bumdles.[14]
  • Pericallosal lipoma- They are of 2 types- tubulonodular pericallosal and curvilinear pericallosal

INVESTIGATION-

  1. Diagnosed mainly from clinical examination by physicians.
  2. Ultrasound
  3. Biopsy[5]

TREATMENT-

  1. Intralesional transcutaneous sodium deoxycholate injections.
  2. Intralesional steroids with isoproterenol injections
  3. Liposuction of tumors
  4. Surgical excision- Mostly open surgery for giant lipomas grater than 10 cm.[7,8]

HOMOEOPATHIC MEDICINES FOR LIPOMA

  1. Baryta carbonica – Acts on glandular structures and effective in degenerative changes , chiefly in the coats of arteries, aneurism and senility. Fatty tumours around thev neck. Lipoma.
  2. Calcarea carbonica- It is an anti- psoric and great constitutional remedy. Mainly acts on impaired nutrition and its effects on glands , skin and bones . Persons who are obese or overweight  with excessive perspiration having lipomas.
  3. Crocus sativus- Lipoma and encephaloma of scalp .[15]
  4. Cupressus lawsoniana- Lipoma of thigh.[17, 18]
  5. Hippozaenium- Non fluctuating articular lymphatic swelling. Nodular growth in arms
  6. Lapis albus- Acts on glands, goitre and pre-ulcerative stage of carcinoma. It is very effective where connective tissues are also affected with lipomas. Scrofulous diathesis . Elastic and pliability nature swelling.[15, 16]
  7. Pellius berus- Swelling of arm , tongue& right eye.[17, 18]
  8. Phytolacca decandra- Multiple number of lipomas with dry,  rough and harsh skin. Reduced weight hence facilitate absorption of fatty tumours.
  9. Sal marinum– Chronic enlargement of cervical glands. [17, 18]
  10. Sulphur-Homeopathic medicine of great help in the treatment of the lipomasSulphur is the next constitutional medicine.extreme  ho sensation  in  the  body.the heat  may  be  more  marked  in  the palm,soles  and the  head.the  skin  remains  mostly  dry  and  looks dirty.some sort of skin trouble at present or in the past   may   be   looked   at   while   taking   up   the patients  case.another characteristics  features  is  a marked  aversion  to  bathing  and  in dietary  the patient may be high demand for sweets.[15]
  11. Thuja occidentalis- Its prime action is on skin , blood , gastrointestinal system. great help in treating abnormal growth originating anywhere in the body.thuja possesses a powerful ability to help in complete dissipation of  fatty  accumulations.if  a  person  with  lipoma has high blood cholestrol level. [15, 16]
  12. Uricum acidum – Great clinical improvements in liquefying large lipomas.[17, 18]

DISCUSSION AND CONCLUSION

Homoeopathic treatment for lipoma is valuable for an effective recovery.  Proper selection of the medicines helps to dissolve lipomas as well as its disposition to form again by its root. Besides surgical excision and liposuction , homoeopathy rise up as a auspicious  method for treatment of lipoma. Homoeopathy provides a complete ,side- effective and reasonable treatment for lipomas by acting on its core reason .

REFERENCES

  1. Kosztyuova T, Shim TN. Rapidly enlarging lipoma. BMJ Case Rep. 2017 Sep 23;2017 
  2. Johnson CN, Ha AS, Chen E, Davidson D. Lipomatous Soft-tissue Tumors. J Am Acad Orthop Surg. 2018 Nov 15;26(22):779-788. 
  3. Vásquez Elera L, Guzman Rojas P, Sánchez Herrera M, Prado V, García Encinas C, Bravo Paredes EA, Bussalleu A. [Familiar adenomatous polyposis: report of 2 cases]. Rev Gastroenterol Peru. 2018 Jan-Mar;38(1):78-81.
  4. Baldino ME, Koth VS, Silva DN, Figueiredo MA, Salum FG, Cherubini K. Gardner syndrome with maxillofacial manifestation: A case report. Spec Care Dentist. 2019 Jan;39(1):65-71.
  5. Vos M, Starmans MPA, Timbergen MJM, van der Voort SR, Padmos GA, Kessels W, Niessen WJ, van Leenders GJLH, Grünhagen DJ, Sleijfer S, Verhoef C, Klein S, Visser JJ. Radiomics approach to distinguish between well differentiated liposarcomas and lipomas on MRI. Br J Surg. 2019 Dec;106(13):1800-1809. 
  6. Aust MC, Spies M, Kall S, Jokuszies A, Gohritz A, Vogt P. Posttraumatic lipoma: fact or fiction? Skinmed. 2007 Nov-Dec;6(6):266-70
  7. Weiss SW. Lipomatous tumors. Monogr Pathol. 1996;38:207-39. 
  8. Silistreli OK, Durmuş EU, Ulusal BG, Oztan Y, Görgü M. Br J Plast Surg. 2005 Apr;58(3):394-8. 
  9. Chrisinger JSA. Update on Lipomatous Tumors with Emphasis on Emerging Entities, Unusual Anatomic Sites, and Variant Histologic Patterns. Surg Pathol Clin. 2019 Mar;12(1):21-33. 
  10. Amir R, Sheikh S. Adenolipoma of the Skin: A Report of 11 Cases. Case Rep Dermatol. 2018 Jan-Apr;10(1):76-81. 
  11. Huang C, Guo W, Qu W, Zhu Z, Li R. Characteristics of chondroid lipoma: A case report and literature review. Medicine (Baltimore). 2019 May;98(19):e15587. 
  12. Decmann Á, Perge P, Tóth M, Igaz P. Adrenal myelolipoma: a comprehensive review. Endocrine. 2018 Jan;59(1):7-15. 
  13. Fukushima M, Schaefer IM, Fletcher CD. Myolipoma of Soft Tissue: Clinicopathologic Analysis of 34 Cases. Am J Surg Pathol. 2017 Feb;41(2):153-160. 
  14. Xiang Y, Moshiri AS, Chan EF, Dasgupta TS, Kozic H, Elenitsas R, Nguyen CV. There is fat in this sclerosis: A case report of sclerotic lipoma and review of the literature. J Cutan Pathol. 2020 Mar;47(3):286-290. 
  15. Boericke William.  Pocket Manual of Homoeopathic Materia Medica with Indian medicine and Repertory. 9th ed. New Delhi: Indian Books and Periodicals Publishers; 2010. 967.
  16. Pathak S. Materia Media of Homoeopathic Medicines.2nd edition Noida: B. Jain Publishers; c1999.
  17. Clarke JH. A Dictionary of Practical Materia Medica . Reprint ed, New Delhi,  B Jain Publishers ; c2006 .
  18. Murphy R . Lotus Materia Medica. 3rdedition . Noida, B Jain Publishers Pvt Ltd; c2021.

About the Author:

Dr. Ashok Yadav 1,  Dr. Chandrashekhar Sharma 2 , Dr. Sakshi Sharma3, Dr. Rekha Sharma 4, Dr. Pawan Choudhary,5 DrAnanya Singh6

1Professor Department of Practice of Medicine, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

 2 Associate Professor, Department of Practice of Medicine, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

3MD scholar, Department of Practice of Medicine, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

4MD scholar, Department of Pharmacy, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

5MD scholar, Department of Pharmacy, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

6MD scholar, Department of Pharmacy, Dr. M.P.K. Homoeopathic Medical College, Hospital & Research Centre, Homoeopathy University, Jaipur.

Posted By

Homeopathy360 Team