A lipoma is a benign (non-cancerous) growth of fat cells that develops under the skin. It is usually soft, movable, and painless. Lipomas grow slowly over time and can appear anywhere on the body, but they are most commonly found on the neck, shoulders, arms, back, and thighs. Causes The exact cause of lipomas is unknown, but they may be linked to: Genetics (family history of lipomas) Injuries (though not always proven) Certain medical conditions (e.g., adiposis dolorosa, Cowden syndrome) Sympto
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Differential Diagnosis – Swelling on the Upper Back 1. Lipoma– Soft, mobile, painless; most common benign fatty tumor 2. Sebaceous Cyst (Epidermoid Cyst)– Dome-shaped, may have central punctum; can get infected 3. Abscess– Painful, red, warm; often associated with systemic signs if infected 4. Soft Tissue Sarcoma– Painless, deep, progressively enlarging mass; requires urgent evaluation 5. Muscle Herniation / Myofascial Rupture– May follow trauma or overuse; swelling increases with activity 6. Ve
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