Lipoma Sebaseus Cyst

8/18/2019 Lipoma Sebaseus Cyst

1/26

LIPOMA and SEBACEOUS

CYST

Irwan Saputra Batubara

13294Koass Bda! K"atn


2/26

L#po$a

% A "#po$a #s a &rowt! o' 'att( t#ssu t!at

s"ow"( d)"ops *ust undr t! s+#n,

- L#po$a .an 'or$ on an( part o' t! bod(/

t(p#.a""( appar on t! n.+/ s!ou"drs/

ba.+/ abdo$n/ ar$s/ and t!#&!s,


3/26

- T!#s .ond#t#on #s

$ost pr)a"nt #n

adu"ts btwn t!

a&s o' 40 and 0

Ma(o/ 2012,


4/26

% ar"(/ "#po$as .an b asso.#atd w#t!

s(ndro$s su.! as !rd#tar( $u"t#p"

"#po$atos#s/ ad#pos#s do"orosa/ 5ardnr6s

s(ndro$/ and Mad"un&6s d#sas,

% T!r ar a"so )ar#ants su.! as

ano"#po$as/ no$orp!#. "#po$as/

sp#nd" ."" "#po$as/ and adno"#po$as,


5/26

- A rar .ond#t#on #s 7r.u$6s d#sas

ad#pos#s do"orosa/ .!ara.tr#8d b(

#rr&u"ar pa#n'u" "#po$as $ost o'tn 'ound

on t! trun+/ s!ou"drs/ ar$s/ 'orar$s/and "&s,

% 7r.u$6s d#sas #s t#$s $or .o$$on

#n wo$n #n $#dd" a&/ and !as ps(.!#.d#sturban.s as ot!r pro$#nnt 'aturs,


6/26

S#&n and S($pto$

% L#po$as usua""( prsnt as:

% ;onpa#n'u" nodu"

% ound and "obu"atd% Mob#" $asss/ w#t! a .!ara.tr#st#. so't,

T! o)r"(#n& s+#n appars nor$a",

L#po$as .an usua""( b .orr.t"(d#a&nosd b( t!#r ."#n#.a" apparan.

a"on,


7/26

- T! "#po$a #s on"(

pa#n'u" #' #t &rows

#nto nr)s

undrnat! t!

s+#n,


8/26

- B#ops# and MI

!as bn usd to

d#''rnt#at

"#po$as and

"#posar.o$as,


9/26

Trat$nt


10/26

;on


11/26

E


12/26

- On. 'rd/ t!

"#po$a #s d"#)rd

as a w!o"/ and

!$ostas#s #s

a.!#)d


13/26

- Intrruptd 3@0 or

4@0 #.r(" suturs

ar usd to

part#a""( ."os t!

dad spa.,


14/26

- T! s+#n #s t!n ."osd w#t! #ntrruptd 4@

0 or @0 n("on suturs,

- A prssur drss#n& #s p"a.d to rdu.

t! #n.#dn. o' !$ato$a 'or$at#on,

- T! pat#nt #s )n rout#n wound .ar

#nstru.t#ons/ and t! wound #s .!.+d #n

two to s)n da(s,


15/26

- T! suturs ar r$o)d a'tr s)n to

21 da(s/ dpnd#n& on t! bod( "o.at#on,


16/26

Sba.ous C(st

% A sba.ous .(st #s a ."osd sa. undr

t! s+#n '#""d w#t! a .!s@"#+ or o#"(

$atr#a",

% T! $ost .o$$on .aus o' #s ruptur o' a

p#"osba.ous 'o""#." asso.#atd w#t! a.n,

% Ot!r .auss #n."ud a d)"op$nta" d'.t

o' t! sba.ous du.t or trau$at#.#$p"antat#on o' sur'a. p#t!"#u$ bnat!

t! s+#n,


17/26

S#&n and S($pto$

% T! $a#n s($pto$

#s a s$a""/ '"u.tuatd

non@pa#n'u" "u$p

bnat! t! s+#n,% ound on t! 'a./

n.+ and trun+,

% It usua""( &rowss"ow"( and #s not

pa#n'u"


18/26

% T! .(st #s t(p#.a""(

'#""d w#t! w!#t

'"a+s o' +rat#n,

% Most .(sts ar so't

to t! tou.!,

% Usua""( t!r #s a

pun.tu$ on t! topo' t! swo""n,


19/26

% In #n'.td or #n'"a$d

"u$p:

% S+#n rdnss

% Tndr or sor s+#n% ar$ s+#n #n t! a''.td

ara

% 5ra(#s!@w!#t/ .!s(/

'ou"@s$""#n& $atr#a" t!atdra#ns 'ro$ t! .(st


20/26

Trat$nt

% A'tr do#n& t!

#n'#"trat#on

anst!s#a and

."an w#t!ant#spt#./ .o)r

t! s+#n around t!

s#t o' t! .(st w#t!str#" draps,


21/26

% In.#s t! s+#n up to

t! sub.utan t#ssus

us#n& a s.a"p",

% Us#n& b"unt ands!arp d#ss.t#on/

#dnt#'( t! p"an

btwn t! .(stand surround#n&

sub.utan t#ssus,


22/26

% Prss t! nor$a"

surround#n& s+#n

and so't t#ssus on

bot! s#ds &nt"(w#t! t! t!u$bs/

'#rst #n on

d#r.t#on/ t!n at90 d&rs to t!

pr)#ous d#r.t#on,


23/26

% 5nt"( "#'t up t!

#n.#sd ""#ps o'

s+#n and atta.!d

.(st w#t! 'or.ps/and sparat t!

dp po" o' t!

.(st 'ro$undr"(#n& t#ssus

us#n& s.#ssors,


24/26

% Ensur

!a$ostas#s and

."os t! s+#n w#t!

non absorbab"#ntrruptd

suturs, ,&, ?0

Et!#"on,


25/26

o""ow Up

% C!.+ t! b"d#n&

% C!.+ t! s#&n o' #n'.t#on

% T! suturs ar r$o)d a'tr s)n to21 da(s/ dpnd#n& on t! bod( "o.at#on


26/26

'rn.

% Pub$d: Sba.ous .(st

% A$r#.an a$#"( P!(s#.#an: L#po$a

Documents

Lipoma Sebaseus Cyst