Lipoma vs Abscess: Understanding the Critical Differences Between These Common Skin Lumps

Discovering an unexpected lump beneath your skin can trigger immediate concern and countless questions. Is it dangerous? Will it go away on its own? Should you see a doctor right away? When it comes to lipoma vs abscess, understanding the fundamental differences between these two common conditions can help you make informed decisions about your health and determine the appropriate course of action. While both conditions present as lumps under the skin, they have distinctly different causes, characteristics, symptoms, and treatment approaches that are essential to recognize.

Key Takeaways

• Lipomas are benign fatty tumors that develop slowly over months or years and feel soft and doughy, while abscesses are infected pockets of pus that appear suddenly and feel firm, warm, and painful
• Texture and mobility are key differentiators: lipomas move freely under the skin when pressed, whereas abscesses remain fixed and may feel fluctuant due to fluid accumulation
• Treatment approaches differ significantly: lipomas typically require surgical excision for permanent removal, while abscesses need incision and drainage to eliminate infection
• Pain levels vary considerably: lipomas are usually painless unless pressing on nerves, but abscesses cause significant pain, tenderness, and often systemic symptoms like fever
• Professional evaluation is essential for accurate diagnosis, especially since other conditions can mimic both lipomas and abscesses

What Is a Lipoma? 🔬

A lipoma represents one of the most common types of benign soft tissue tumors found in adults. These growths consist entirely of mature fat cells (adipocytes) that cluster together to form a distinct mass between the skin's surface and the underlying muscle layer [1]. Understanding what lipomas are and how they develop provides important context when comparing lipoma vs abscess characteristics.

Composition and Structure

Lipomas are composed of lobules of mature white adipose tissue surrounded by a thin fibrous capsule. This encapsulation distinguishes them from normal subcutaneous fat and allows them to maintain their distinct, movable nature beneath the skin. The fatty tissue within a lipoma is histologically identical to normal fat cells, which explains why these growths are classified as benign rather than malignant [2].

Common Characteristics

Lipomas typically present with several distinctive features that help differentiate them from other skin conditions:

• Soft, doughy texture that feels rubbery when touched
• Mobile nature - they move freely when pressed with fingers
• Slow growth pattern developing over months to years
• Painless in most cases, unless they compress nearby nerves
• Dome-shaped or oval appearance beneath the skin
• Flesh-colored with no visible changes to overlying skin
• Small to moderate size, typically less than 2 inches (5 cm) in diameter

Typical Locations

While lipomas can theoretically develop anywhere fatty tissue exists, certain body areas show higher prevalence. The most common sites include [3]:

Body LocationFrequencySpecial ConsiderationsNeck and shouldersVery commonMay be visible, cosmetic concernBackVery commonOften multiple lipomas presentAbdomenCommonCan grow larger before detectionArms and thighsCommonMay interfere with movement if largeForeheadLess commonHigher cosmetic impactChestModerateMay be confused with other masses

For individuals seeking evaluation of unusual skin growths, professional assessment at specialized centers can provide accurate diagnosis and treatment options.

Age and Demographics

Lipomas most frequently appear in adults between the ages of 40 and 60, though they can develop at any age [4]. They occur slightly more often in women than men, and genetic predisposition plays a significant role in their development. Approximately 2-3% of the general population develops lipomas, with some individuals developing multiple lipomas throughout their lifetime—a condition sometimes called familial multiple lipomatosis.

What Is an Abscess? 💉

An abscess represents the body's defensive response to bacterial infection, manifesting as a localized collection of pus within a newly formed cavity in tissue. Unlike the benign fatty composition of lipomas, abscesses result from active infection and inflammation, making the comparison of lipoma vs abscess particularly important for appropriate treatment decisions.

Formation and Development

Abscesses form when bacteria invade tissue through breaks in the skin barrier, hair follicles, or blocked glands. The immune system responds by sending white blood cells to fight the infection, and as these cells accumulate along with bacteria, dead tissue, and cellular debris, they create the characteristic pus-filled pocket [5]. The body attempts to wall off this infection by forming a membrane around it, preventing the infection from spreading to surrounding tissues.

Distinctive Features

Abscesses present with markedly different characteristics compared to lipomas:

• Firm, fluctuant texture due to fluid (pus) accumulation
• Fixed position - minimal movement when pressed
• Rapid onset appearing within days following infection
• Painful and tender with significant discomfort
• Red, warm skin overlying the abscess
• Swelling that may increase rapidly
• Possible drainage of pus if the abscess ruptures
• Systemic symptoms including fever and malaise

Types of Abscesses

Abscesses can develop in various forms and locations throughout the body:

Skin Abscesses (Cutaneous)

• Furuncles (boils) - infections of hair follicles
• Carbuncles - clusters of infected follicles
• Pilonidal abscesses - near the tailbone
• Hidradenitis suppurativa - recurring abscesses in sweat glands

Secondary Abscesses

• Infected sebaceous cysts that become abscessed
• Infected various types of cysts that develop bacterial complications
• Post-surgical or post-traumatic infections

Bacterial Causes

The most common bacterial culprits responsible for abscess formation include:

• Staphylococcus aureus (including MRSA strains) - most frequent cause
• Streptococcus species - particularly Group A Streptococcus
• Escherichia coli - especially in abdominal abscesses
• Pseudomonas aeruginosa - in certain wound infections
• Anaerobic bacteria - in deeper tissue abscesses

Understanding the difference between boils and cysts can also help distinguish abscess-related conditions from other skin growths.

Risk Factors for Abscess Development

Several factors increase the likelihood of developing an abscess [6]:

• Compromised immune system (diabetes, HIV, chemotherapy)
• Poor hygiene or skin care practices
• Close contact with infected individuals
• Existing skin conditions (eczema, acne)
• Intravenous drug use
• Obesity
• Advanced age
• Previous abscess history

Lipoma vs Abscess: Key Differences in Appearance and Texture 👁️

When examining the critical distinctions in the lipoma vs abscess comparison, appearance and texture provide some of the most reliable diagnostic clues. These physical characteristics can often help differentiate between these conditions even before professional medical evaluation.

Texture Comparison

The tactile differences between lipomas and abscesses are among the most distinctive features:

Lipoma Texture:

• Soft and doughy - feels similar to soft rubber or dough
• Smooth surface with well-defined borders
• Compressible - yields to gentle pressure
• Rubbery consistency that springs back when released
• Uniform throughout with consistent texture

Abscess Texture:

• Firm initially becoming fluctuant as pus accumulates
• Tense surface due to internal pressure from fluid
• Fluctuant quality - feels like a water balloon when fully formed
• Indurated (hardened) surrounding tissue from inflammation
• Variable consistency depending on stage of development

Mobility and Movement

How a lump moves beneath the skin provides crucial diagnostic information:

Lipoma Mobility: Lipomas demonstrate remarkable mobility because they exist within a capsule separate from surrounding tissue. When you press on a lipoma with your fingers, it typically:

• Moves freely in multiple directions
• Slides easily beneath the skin
• Can be manipulated away from the pressure point
• Maintains its shape while moving
• Returns to original position when released

Abscess Mobility: Abscesses show minimal to no mobility because inflammation causes them to adhere to surrounding tissues. When examining an abscess:

• Remains fixed in position
• Cannot be moved away from the site
• Surrounding tissue moves with the abscess
• Pressure causes pain rather than movement
• Feels anchored to deeper structures

Visual Appearance

The overlying skin appearance differs markedly between these conditions:

FeatureLipomaAbscessSkin colorNormal, flesh-coloredRed, inflamed, possibly purpleSkin temperatureNormal to touchWarm or hot to touchSkin textureSmooth, unchangedTight, shiny, stretchedVisible changesSubtle bulge onlyObvious swelling, possible pustuleSkin integrityIntactMay show pointing or drainageSurrounding areaNormal appearanceRedness extending beyond lump

Size and Shape Characteristics

Lipoma Dimensions:

• Typically 1-3 cm (0.4-1.2 inches) in diameter
• Can grow up to 10 cm (4 inches) or larger in rare cases
• Oval or dome-shaped with smooth contours
• Well-circumscribed with clear boundaries
• Symmetrical appearance
• Slow, gradual size increase over months to years

Abscess Dimensions:

• Variable size from small (1 cm) to large (10+ cm)
• Rapid size increase over days
• Round or irregular shape
• Less defined boundaries due to surrounding inflammation
• May appear asymmetrical
• Size fluctuates with pus accumulation and drainage

Surface Temperature

Temperature differences provide important diagnostic clues in the lipoma vs abscess evaluation:

Lipoma Temperature: Lipomas maintain normal body temperature because they lack the inflammatory response. The overlying skin feels no different from surrounding areas, and there is no heat generation from the growth itself.

Abscess Temperature: Abscesses generate significant heat due to active infection and inflammation. The increased blood flow to the area, combined with the metabolic activity of white blood cells fighting infection, creates a noticeably warm or hot sensation when touched. This warmth often extends beyond the abscess itself into surrounding tissue [7].

For comprehensive evaluation of unusual skin lumps and professional diagnosis, specialized centers offering skin lesion assessment can provide expert guidance.

Lipoma vs Abscess: Symptoms and Pain Levels 🩺

The symptom profile represents another crucial differentiator when comparing lipoma vs abscess. While both conditions present as palpable lumps, their associated symptoms vary dramatically, reflecting their fundamentally different natures—benign fatty growth versus active infection.

Pain and Discomfort

Lipoma Pain Profile: Most lipomas are completely painless and may go unnoticed for extended periods. However, certain circumstances can cause discomfort:

• Nerve compression: When a lipoma grows near or around a nerve, it can cause pain, tingling, or numbness
• Size-related discomfort: Large lipomas may create pressure sensations or mechanical discomfort
• Location-dependent pain: Lipomas in areas subject to friction or pressure (such as under bra straps or waistbands) may become tender
• Angiolipomas: A specific subtype containing blood vessels that can be tender or painful
• Rapid growth: Unusually fast-growing lipomas may cause stretching sensations

Abscess Pain Profile: Abscesses are characteristically painful from early development through resolution:

• Throbbing pain: Constant, pulsating discomfort that worsens with touch
• Tenderness: Extreme sensitivity even to light pressure
• Progressive pain: Increasing intensity as the abscess enlarges
• Positional pain: Worsening with certain movements or positions
• Pressure sensation: Feeling of tightness or fullness
• Pain relief after drainage: Significant improvement once pus is released

Associated Symptoms

Beyond pain, the symptom constellation differs markedly:

Lipoma Associated Symptoms:

• Generally no systemic symptoms
• No fever or chills
• No skin changes (redness, warmth)
• No discharge or drainage
• Occasional cosmetic concern
• Rarely affects daily activities
• May cause anxiety about appearance

Abscess Associated Symptoms:

• Fever (temperature above 100.4°F/38°C) [8]
• Chills and sweating
• Fatigue and malaise
• Loss of appetite
• Swollen lymph nodes near the affected area
• Pus drainage (yellow, white, or bloody discharge)
• Foul odor from infected material
• Red streaking from the site (indicating spreading infection)
• General feeling of illness

Symptom Timeline

The temporal pattern of symptom development provides diagnostic clarity:

Lipoma Timeline:

• Appears gradually over months to years
• Slow, steady growth without sudden changes
• Symptoms (if any) develop proportionally to size
• Stable condition without fluctuation
• No acute worsening episodes
• Can remain unchanged for years

Abscess Timeline:

• Develops rapidly over days (24-72 hours typical)
• Acute onset of pain and swelling
• Progressive worsening until treated
• May spontaneously rupture and drain
• Symptoms fluctuate with pus accumulation
• Requires prompt intervention

Functional Impact

The effect on daily activities differs substantially:

Lipoma Functional Impact:

• Minimal interference with normal activities
• Possible cosmetic concerns affecting self-esteem
• Large lipomas may limit range of motion
• Generally no urgent treatment needed
• Quality of life impact primarily psychological

Abscess Functional Impact:

• Significant pain limiting movement
• Difficulty performing normal tasks
• Sleep disturbance due to discomfort
• Inability to wear certain clothing
• Urgent treatment required
• Work or school absence often necessary

Warning Signs Requiring Immediate Attention

Certain symptoms indicate serious complications requiring emergency evaluation:

For Suspected Lipomas:

• Rapid growth over days or weeks
• Sudden onset of pain
• Changes in texture or firmness
• Size larger than 2 inches (5 cm)
• Fixed to underlying structures
• Overlying skin changes

For Suspected Abscesses:

• Fever above 101°F (38.3°C)
• Red streaking extending from the abscess
• Increasing area of redness and warmth
• Severe pain unresponsive to over-the-counter medication
• Multiple abscesses developing
• Confusion or altered mental status
• Rapid heart rate or breathing difficulty

Understanding these symptom differences in the lipoma vs abscess comparison enables appropriate timing for medical consultation and helps prevent complications from delayed treatment.

Causes and Risk Factors: Lipoma vs Abscess 🧬

Understanding the underlying causes and risk factors for each condition provides essential context in the lipoma vs abscess discussion. While both manifest as subcutaneous lumps, their etiologies are fundamentally different—genetic and metabolic factors for lipomas versus infectious processes for abscesses.

What Causes Lipomas?

The exact cause of lipoma formation remains incompletely understood, but research has identified several contributing factors [9]:

Genetic Factors:

• Familial predisposition: Strong hereditary component with 2-3 times higher risk if family members have lipomas
• Inherited conditions:
  • Familial multiple lipomatosis: Autosomal dominant condition causing numerous lipomas
  • Dercum's disease (adiposis dolorosa): Painful lipomas throughout the body
  • Gardner syndrome: Part of familial adenomatous polyposis with multiple lipomas
  • Madelung's disease: Symmetric lipomatosis affecting neck and shoulders
  • Cowden syndrome: Multiple hamartomas including lipomas

Chromosomal Abnormalities: Research has identified chromosomal rearrangements in lipoma tissue, particularly involving chromosomes 12 and 13, suggesting genetic mutations may trigger abnormal fat cell growth [10].

Metabolic Factors:

• Obesity (though lipomas also occur in thin individuals)
• Glucose intolerance and insulin resistance
• Liver disease
• Alcohol consumption (particularly in Madelung's disease)

Trauma and Injury: Some evidence suggests minor injuries or blunt trauma may trigger lipoma formation, though this remains controversial. The "post-traumatic lipoma" theory proposes that tissue injury stimulates adipocyte proliferation in susceptible individuals.

Age-Related Factors: Peak incidence between ages 40-60 suggests age-related metabolic or hormonal changes may contribute to lipoma development.

What Causes Abscesses?

Abscesses result from bacterial infection, with several pathways leading to their formation:

Primary Bacterial Invasion:

• Breaks in skin integrity (cuts, scrapes, puncture wounds)
• Hair follicle infections (folliculitis progressing to abscess)
• Blocked sebaceous or sweat glands
• Insect bites allowing bacterial entry
• Injection sites (particularly in IV drug users)

Secondary Infection:

• Infected cysts: Pre-existing sebaceous or epidermoid cysts becoming infected
• Infected foreign bodies (splinters, debris)
• Surgical site infections
• Dental infections spreading to facial tissues

Bacterial Species: Different bacteria cause abscesses in various body locations:

• Staphylococcus aureus: Most common cause of skin abscesses
• MRSA (Methicillin-resistant Staph aureus): Increasingly prevalent, more difficult to treat
• Streptococcus pyogenes: Causes rapidly spreading infections
• Anaerobic bacteria: In deeper tissue abscesses
• Polymicrobial infections: Multiple bacterial species in complex abscesses

Risk Factors Comparison

Risk FactorLipomaAbscessAge40-60 years peakAny age, more common in young adultsGeneticsStrong hereditary linkMinimal genetic componentImmune statusNo significant associationImmunocompromised individuals at high riskHygieneNot relatedPoor hygiene increases riskChronic conditionsMetabolic syndrome associationDiabetes, HIV, cancer significantly increase riskLifestyle factorsAlcohol (specific syndromes)IV drug use, close-contact living, contact sportsPrevious occurrenceMultiple lipomas commonPrevious abscesses increase recurrence riskObesityWeak associationModerate associationSkin conditionsNot relatedAcne, eczema, folliculitis increase risk

Specific Risk Factors for Abscesses

Several conditions and circumstances significantly elevate abscess risk [11]:

Medical Conditions:

• Diabetes mellitus: Impaired immune function and wound healing
• HIV/AIDS: Compromised immune response
• Cancer and chemotherapy: Reduced white blood cell function
• Chronic kidney disease: Altered immune status
• Inflammatory bowel disease: Associated with specific abscess types
• Hidradenitis suppurativa: Chronic condition causing recurrent abscesses

Medications:

• Corticosteroids (suppress immune function)
• Immunosuppressants for transplant or autoimmune conditions
• Biologic therapies affecting immune response

Behavioral Factors:

• Intravenous drug use
• Sharing personal items (razors, towels)
• Contact sports with skin-to-skin contact
• Poor wound care practices
• Inadequate handwashing

Environmental Factors:

• Crowded living conditions
• Warm, humid climates
• Occupational exposure to contaminated materials
• Healthcare settings (hospital-acquired infections)

Prevention Strategies

Preventing Lipomas: Given their genetic basis, lipomas cannot be reliably prevented. However:

• Maintaining healthy weight may reduce risk
• Avoiding trauma to susceptible areas
• Monitoring for early growth in those with family history

Preventing Abscesses: Multiple strategies can reduce abscess risk:

• Excellent hygiene: Regular handwashing and bathing
• Proper wound care: Cleaning and covering cuts promptly
• Avoid sharing: Personal items like razors, towels, clothing
• Skin care: Managing acne, eczema, and other conditions
• Diabetes control: Maintaining blood sugar in target range
• Healthy lifestyle: Adequate nutrition, sleep, stress management
• Prompt treatment: Addressing skin infections early

For individuals experiencing unusual skin growths or recurrent lumps, professional evaluation at specialized skin assessment centers can identify underlying risk factors and provide appropriate management strategies.

Diagnosis: How Doctors Differentiate Lipoma vs Abscess 🔍

Accurate diagnosis is essential in the lipoma vs abscess comparison, as treatment approaches differ dramatically. Healthcare providers use a systematic evaluation combining clinical examination, imaging studies, and occasionally laboratory tests to distinguish between these conditions and rule out other possibilities.

Clinical Examination

The diagnostic process begins with thorough physical assessment:

Visual Inspection: Physicians carefully observe:

• Overlying skin appearance (color, texture, integrity)
• Size, shape, and contour of the lump
• Symmetry and borders
• Presence of inflammation or drainage
• Surrounding tissue changes
• Location and distribution pattern

Palpation (Touch Examination): Tactile assessment provides critical diagnostic information:

• Texture: Soft and doughy versus firm and fluctuant
• Mobility: Freely movable versus fixed
• Tenderness: Painless versus painful to touch
• Temperature: Normal versus warm/hot
• Consistency: Uniform versus variable
• Depth: Superficial versus deep tissue involvement
• Borders: Well-defined versus indistinct

Patient History: Comprehensive history gathering includes:

• Timeline of development (gradual versus sudden)
• Symptom progression
• Pain characteristics
• Previous similar lumps
• Family history of lipomas
• Recent injuries or infections
• Systemic symptoms (fever, malaise)
• Medical conditions and medications
• Occupational and lifestyle factors

Imaging Studies

When clinical examination leaves diagnostic uncertainty, imaging provides additional clarity:

Ultrasound (Most Common First-Line Imaging):

• Non-invasive and readily available
• Lipoma appearance: Well-circumscribed, homogeneous, hyperechoic (bright) mass with thin capsule
• Abscess appearance: Hypoechoic (dark) fluid collection with irregular walls, possible debris
• Doppler ultrasound: Shows increased blood flow around abscesses but minimal flow in lipomas
• Real-time assessment: Can evaluate compressibility and movement
• Cost-effective compared to other imaging modalities

MRI (Magnetic Resonance Imaging): Reserved for complex cases or when malignancy concerns exist:

• Lipoma characteristics:
  • Homogeneous high signal on T1-weighted images
  • Suppresses completely on fat-suppression sequences
  • No enhancement with contrast
  • Well-defined margins
• Abscess characteristics:
  • Central low signal (pus) with peripheral enhancement (wall)
  • High signal on T2-weighted images
  • Surrounding soft tissue edema
  • May show gas bubbles in some cases

CT Scan (Computed Tomography): Less commonly used for superficial lumps but helpful for:

• Deep tissue masses
• Suspected complications (spreading infection)
• Surgical planning for complex cases
• Lipoma findings: Homogeneous fat density (-50 to -100 Hounsfield units)
• Abscess findings: Fluid density with rim enhancement

Laboratory Tests

Blood work and cultures help confirm diagnosis and guide treatment:

For Suspected Abscesses:

• Complete blood count (CBC): Elevated white blood cells indicate infection
• C-reactive protein (CRP): Marker of inflammation
• Erythrocyte sedimentation rate (ESR): Elevated in infection
• Blood cultures: If systemic infection suspected
• Pus culture and sensitivity: Identifies bacteria and antibiotic susceptibilities
• MRSA screening: Determines if methicillin-resistant bacteria present

For Suspected Lipomas:

• Generally no laboratory tests needed for typical lipomas
• Pathology after excision: Confirms diagnosis and rules out liposarcoma
• Genetic testing: Considered if multiple lipomas suggest hereditary syndrome

Diagnostic Criteria Summary

Diagnostic FeatureLipomaAbscessOnsetGradual (months-years)Acute (days)PainUsually painlessPainful, tenderMobilityFreely mobileFixedSkin changesNoneRed, warm, possibly drainingSystemic symptomsNoneFever, malaise possibleUltrasoundHyperechoic, homogeneousHypoechoic fluid collectionBlood testsNormalElevated WBC, inflammatory markersResponse to pressureCompressible, springs backFluctuant, tense

Differential Diagnosis

Healthcare providers must also consider other conditions that may mimic lipomas or abscesses:

Conditions Mimicking Lipomas:

• Liposarcoma: Malignant fatty tumor (rare, requires biopsy to distinguish)
• Epidermoid cysts: May feel similar but have central punctum
• Lymph nodes: Mobile but firmer, often multiple
• Hernias: May reduce with pressure, change with position
• Neurofibromas: Associated with nerve tissue, may cause tingling

Conditions Mimicking Abscesses:

• Infected cysts: May have abscess features but with cyst history
• Cellulitis: Infection without pus collection
• Hematoma: Blood collection from trauma
• Inflamed lipoma: Rare but can become tender
• Thrombosed blood vessels: Firm, tender, linear
• Malignancies: Some cancers present as inflamed masses

When to Seek Immediate Medical Evaluation

Certain presentations require urgent assessment:

Red Flag Symptoms:

• Rapid growth over days
• Severe pain or fever
• Red streaking from the lump
• Multiple abscesses developing
• Abscess on face (risk of spreading to brain)
• Inability to move affected body part
• Signs of systemic infection (confusion, rapid heartbeat)
• Recurrent abscesses in same location
• Abscess in immunocompromised individual

For comprehensive diagnostic evaluation and expert assessment of skin lumps, specialized minor surgery centers offer advanced diagnostic capabilities and treatment options.

Biopsy and Pathological Examination

In uncertain cases, tissue sampling provides definitive diagnosis:

Fine Needle Aspiration (FNA):

• Thin needle extracts cells for microscopic examination
• Useful for distinguishing lipoma from other soft tissue masses
• Lipoma findings: Mature adipocytes without atypia
• Minimally invasive outpatient procedure

Core Needle Biopsy:

• Larger tissue sample than FNA
• Better architectural assessment
• Performed under local anesthesia
• Useful when liposarcoma suspected

Excisional Biopsy:

• Complete removal of small masses for diagnosis
• Provides both treatment and diagnosis
• Standard approach for suspicious lipomas
• Entire specimen sent for pathological examination

Pathology Report Elements:

• Microscopic description of tissue
• Cell type identification
• Presence or absence of malignancy
• Margins assessment (if excised)
• Special stains if needed
• Final diagnosis and recommendations

The combination of clinical assessment, imaging, and when necessary, tissue sampling, allows healthcare providers to accurately differentiate lipoma vs abscess and develop appropriate treatment plans tailored to each condition's specific requirements.

Treatment Options: Lipoma vs Abscess 💊

The treatment approaches for lipoma vs abscess differ fundamentally, reflecting their distinct natures—benign fatty growth versus active infection. Understanding these treatment differences is crucial for appropriate management and optimal outcomes.

Lipoma Treatment Options

Since lipomas are benign and typically harmless, treatment focuses on removal for symptomatic or cosmetic concerns:

Observation (Watchful Waiting): Many lipomas require no treatment if they:

• Remain small and stable
• Cause no symptoms or discomfort
• Don't interfere with function
• Don't create cosmetic concerns
• Show no signs of rapid growth

Patients should monitor for changes in size, texture, or symptoms and report any concerning developments to their healthcare provider.

Surgical Excision (Most Common and Definitive): Complete surgical removal represents the gold standard for lipoma treatment [12]:

Procedure Details:

• Performed under local anesthesia (larger lipomas may require sedation)
• Incision made over the lipoma
• Entire lipoma removed with its capsule
• Capsule removal critical to prevent recurrence
• Incision closed with sutures
• Specimen sent for pathological confirmation

Advantages:

• Complete removal with low recurrence rate (1-2%)
• Provides tissue for pathological examination
• Definitive treatment
• Can remove lipomas of any size

Disadvantages:

• Requires incision and sutures
• Small scar remains
• Brief recovery period
• Rare complications (bleeding, infection, nerve damage)

Recovery:

• Sutures removed in 7-14 days
• Return to normal activities within days to weeks
• Scar fades over months
• Minimal long-term restrictions

For those considering lipoma removal, reviewing before and after lipoma removal outcomes can help set realistic expectations.

Liposuction: An alternative approach for smaller, softer lipomas:

Technique:

• Small incision (3-4 mm)
• Suction device removes fatty tissue
• Capsule often remains
• Minimal scarring

Advantages:

• Smaller incision than excision
• Less visible scarring
• Faster recovery
• Can treat multiple small lipomas in one session

Disadvantages:

• Higher recurrence rate (10-20%) because capsule remains
• Not suitable for fibrous lipomas
• Cannot provide complete tissue sample
• May not remove entire lipoma

Steroid Injections: Occasionally used for small lipomas:

• Corticosteroid injected into lipoma
• May shrink lipoma by 50-75%
• Multiple injections often needed
• Not complete removal
• Limited effectiveness
• Reserved for patients who cannot undergo surgery

Emerging Treatments: Newer approaches under investigation:

• Deoxycholic acid injections: Fat-dissolving injections
• Laser lipolysis: Laser-assisted lipoma removal
• Radiofrequency ablation: Heat-based destruction

These remain experimental with limited long-term data on effectiveness and recurrence rates.

Abscess Treatment Options

Abscess treatment focuses on eliminating infection and draining pus to promote healing:

Incision and Drainage (I&D) - Primary Treatment: The cornerstone of abscess management [13]:

Procedure Steps:

1. Anesthesia: Local anesthetic injected around (not into) abscess
2. Incision: Scalpel incision over most fluctuant point
3. Drainage: Manual expression of pus
4. Irrigation: Flushing cavity with sterile saline
5. Exploration: Breaking up loculations (pockets) with instrument
6. Packing: Gauze inserted to keep wound open
7. Dressing: Sterile bandage applied

Post-Procedure Care:

• Packing changes: Every 1-3 days until cavity fills with granulation tissue
• Warm compresses: Applied several times daily
• Pain management: Over-the-counter or prescription analgesics
• Follow-up: Regular monitoring until complete healing
• Hygiene: Keeping area clean and dry

Healing Timeline:

• Small abscesses: 1-2 weeks
• Larger abscesses: 2-4 weeks
• Complete healing: May take several weeks to months

Antibiotic Therapy: Not always necessary but indicated in certain situations:

When Antibiotics Are Needed:

• Extensive surrounding cellulitis
• Systemic signs of infection (fever, elevated WBC)
• Immunocompromised patients
• Abscess in dangerous locations (face, hands, genitals)
• Failure to improve after I&D alone
• Presence of prosthetic devices or heart valve disease
• MRSA infection

Common Antibiotic Choices:

• Trimethoprim-sulfamethoxazole: Effective against MRSA
• Doxycycline: Alternative for MRSA coverage
• Clindamycin: Good skin penetration
• Cephalexin: For non-MRSA staph infections
• Amoxicillin-clavulanate: Broad-spectrum coverage

Duration: Typically 5-10 days depending on severity and response.

Home Care and Conservative Management: Very small, early abscesses may respond to conservative treatment:

Warm Compresses:

• Applied 3-4 times daily for 20-30 minutes
• Promotes blood flow and natural drainage
• May allow small abscesses to resolve without I&D
• Continue until completely resolved

When Home Care Is Insufficient:

• Abscess larger than 1 cm
• No improvement within 48 hours
• Increasing pain or size
• Fever development
• Spreading redness

Preventing Recurrence: After successful treatment, prevention strategies include:

• Decolonization protocols: For recurrent MRSA abscesses
  • Mupirocin nasal ointment
  • Chlorhexidine body washes
  • Treatment of household contacts
• Hygiene improvements: Regular bathing, handwashing
• Skin care: Managing underlying conditions (acne, eczema)
• Avoiding skin trauma: Careful shaving, protective equipment
• Diabetes control: Maintaining blood sugar in target range

Treatment Comparison Summary

AspectLipoma TreatmentAbscess TreatmentUrgencyElective, can waitUrgent, requires prompt treatmentPrimary approachSurgical excisionIncision and drainageAnesthesiaLocal (sometimes sedation)LocalAntibioticsNot neededSometimes requiredRecovery time1-2 weeks2-4 weeksRecurrence rateLow (1-2% with complete excision)Moderate (10-20% without addressing risk factors)Follow-upSuture removal, pathology resultsPacking changes, wound checksHome careMinimalExtensive (dressing changes, warm compresses)

Complications and When to Seek Additional Care

Lipoma Removal Complications (Rare):

• Bleeding or hematoma formation
• Infection at surgical site
• Nerve damage causing numbness
• Scarring or poor cosmetic outcome
• Incomplete removal with recurrence

Abscess Treatment Complications:

• Incomplete drainage: Persistent infection
• Spreading infection: Cellulitis, lymphangitis
• Sepsis: Life-threatening systemic infection
• Fistula formation: Abnormal tract development
• Scarring: Particularly with large or recurrent abscesses

Warning Signs Requiring Immediate Attention:

• Fever above 101°F (38.3°C)
• Red streaking from treatment site
• Increasing pain despite treatment
• Pus or drainage from surgical site
• Signs of allergic reaction to antibiotics
• Confusion or altered mental status

For expert treatment of both lipomas and abscesses, specialized facilities offering cyst and lipoma removal services provide comprehensive care with experienced practitioners.

Understanding the distinct treatment approaches in the lipoma vs abscess comparison enables patients to have realistic expectations about procedures, recovery, and outcomes, facilitating informed decision-making and optimal results.

When to See a Doctor: Lipoma vs Abscess 👨‍⚕️

Knowing when to seek medical evaluation is crucial in managing both lipomas and abscesses effectively. While the urgency differs significantly between these conditions, professional assessment ensures accurate diagnosis and appropriate treatment in the lipoma vs abscess scenario.

Lipoma: When Medical Evaluation Is Recommended

While lipomas are benign and often require no immediate intervention, certain situations warrant professional assessment:

Recommended Evaluation Scenarios:

• First-time discovery: Any new lump should be evaluated to confirm it's a lipoma and not something more serious
• Size changes: Rapid growth or significant size increase
• Developing symptoms: New pain, tenderness, or discomfort
• Large size: Lipomas exceeding 2 inches (5 cm) in diameter
• Functional interference: Limiting movement or daily activities
• Cosmetic concerns: Visible lipomas causing self-consciousness
• Multiple lipomas: Numerous growths suggesting possible genetic syndrome
• Texture changes: Becoming firmer or developing irregular borders
• Fixed position: Loss of mobility suggesting deeper attachment

Non-Urgent Timeline: Lipoma evaluation can typically be scheduled as a routine appointment within days to weeks. There's generally no need for emergency or urgent care visits for uncomplicated lipomas.

What to Expect at the Appointment:

• Physical examination of the lump
• Medical and family history discussion
• Possible ultrasound or imaging
• Discussion of treatment options
• Observation versus removal decision
• Scheduling of excision if desired

Abscess: When Medical Evaluation Is Essential

Abscesses require more urgent attention due to their infectious nature:

Immediate Medical Attention Needed:

• Any abscess larger than 1 cm (about ½ inch)
• Facial abscesses: Risk of spreading to brain or eyes
• Severe pain: Interfering with sleep or function
• Fever: Temperature above 100.4°F (38°C)
• Red streaking: Lines extending from the abscess
• Rapid expansion: Noticeable growth within hours
• Multiple abscesses: Several developing simultaneously
• Immunocompromised status: Diabetes, HIV, cancer, or immunosuppressive medications
• Failed home treatment: No improvement after 48 hours of warm compresses
• Recurrent abscesses: Multiple episodes in same or different locations

Emergency Department Indications: Seek immediate emergency care for:

• High fever (above 101°F/38.3°C)
• Confusion or altered mental status
• Rapid heartbeat or breathing difficulty
• Abscess on face, especially near eyes or nose
• Severe pain uncontrolled by medication
• Signs of sepsis: Extreme illness, low blood pressure, rapid pulse
• Spreading redness covering large area
• Inability to move affected body part

Urgent Care Timeline: Most abscesses should be evaluated within 24 hours of recognition. Don't wait to see if they improve on their own, as delayed treatment can lead to complications.

Choosing the Right Healthcare Provider

Different healthcare settings offer appropriate care for various situations:

Primary Care Physician:

• Initial evaluation of lipomas
• Small, uncomplicated abscesses
• Follow-up care after treatment
• Management of recurrent infections
• Coordination of specialist referrals

Dermatologist:

• Expert evaluation of skin lumps
• Diagnosis of unusual presentations
• Treatment of complex or recurrent abscesses
• Management of underlying skin conditions
• Cosmetic concerns with lipomas

Surgeon or Minor Surgery Specialist:

• Lipoma excision procedures
• Large or complex abscess drainage
• Recurrent abscess management
• Lipomas in difficult locations
• Multiple lipoma removal

Specialized centers like The Minor Surgery Center offer comprehensive evaluation and treatment for both conditions with experienced practitioners.

Urgent Care Centers:

• After-hours abscess evaluation
• Incision and drainage procedures
• Antibiotic prescriptions
• Initial assessment before specialist referral

Emergency Department:

• Life-threatening infections
• Severe systemic symptoms
• Facial abscesses
• Complicated or spreading infections
• When other options unavailable

Preparing for Your Appointment

Maximize the value of your medical visit with proper preparation:

Information to Gather:

• Timeline: When did you first notice the lump?
• Changes: Has it grown, changed color, or become painful?
• Symptoms: Any fever, drainage, or systemic symptoms?
• Previous lumps: History of lipomas, cysts, or abscesses?
• Family history: Do relatives have similar conditions?
• Medical conditions: Diabetes, immune disorders, skin conditions?
• Medications: Current prescriptions and supplements
• Allergies: Particularly to antibiotics or anesthetics

Questions to Ask:

• Is this a lipoma or an abscess?
• What caused this to develop?
• Do I need treatment now, or can we watch it?
• What are my treatment options?
• What are the risks and benefits of each option?
• How long is the recovery period?
• Will there be a scar?
• What's the chance of recurrence?
• Are there preventive measures I should take?
• When should I schedule follow-up?

Photos and Documentation:

• Take photos showing size and appearance
• Note any changes over time
• Document symptoms in a journal
• Bring list of questions and concerns

Red Flags: Never Ignore These Signs

Certain symptoms indicate serious complications requiring immediate attention:

Critical Warning Signs:

• Rapid spread: Infection expanding visibly over hours
• Systemic toxicity: Feeling severely ill, confused, or weak
• Breathing difficulty: May indicate spreading infection
• Facial swelling: Especially around eyes or nose
• Inability to drain: Abscess not responding to I&D
• Necrotizing infection: Skin turning dark or developing blisters
• Septic appearance: Very ill, low blood pressure, rapid pulse
• Diabetic patient with abscess: Higher risk of complications

Cost Considerations and Insurance

Understanding financial aspects helps with planning:

Lipoma Removal:

• May be considered cosmetic if asymptomatic
• Insurance often covers symptomatic or large lipomas
• Documentation of symptoms improves coverage likelihood
• Costs range from $500-$3,000 depending on size and location
• Pathology fees additional

Abscess Treatment:

• Generally covered as medically necessary
• I&D typically $200-$800 in office setting
• Emergency department treatment significantly more expensive
• Antibiotics usually covered with copay
• Follow-up visits may require additional copays

Prior Authorization: Some insurance plans require pre-approval for:

• Lipoma excision (especially if cosmetic)
• Specialist referrals
• Advanced imaging
• Surgical procedures

Check with your insurance provider before scheduling elective procedures.

Telemedicine Options

Virtual consultations may be appropriate for:

• Initial assessment of small, non-painful lumps
• Follow-up after in-person treatment
• Discussion of treatment options
• Monitoring stable lipomas
• Post-procedure questions

Limitations:

• Cannot perform physical examination
• No hands-on procedures possible
• May require in-person follow-up
• Not appropriate for urgent abscesses

For comprehensive information on various skin conditions and when to seek care, the blog resources provide valuable educational content.

Understanding when to seek medical care in the lipoma vs abscess comparison ensures timely, appropriate intervention, preventing complications and achieving optimal outcomes. When in doubt, err on the side of caution and consult a healthcare professional.

Living with Lipomas and Preventing Abscesses 🛡️

Managing existing lipomas and preventing abscess formation requires understanding long-term strategies and lifestyle modifications. While the lipoma vs abscess comparison highlights their different natures, both conditions benefit from informed self-care and preventive measures.

Living with Lipomas

For individuals diagnosed with lipomas who choose observation over removal, several management strategies can help:

Monitoring for Changes: Regular self-examination helps detect concerning developments:

• Monthly checks: Assess size, texture, and mobility
• Measure dimensions: Use ruler or measuring tape for objective tracking
• Photo documentation: Take periodic photos for comparison
• Symptom journal: Note any pain, tenderness, or functional changes
• Annual professional examination: Healthcare provider assessment

When to Reconsider Treatment: Initially asymptomatic lipomas may eventually require removal if they:

• Grow beyond 2 inches (5 cm)
• Develop pain or tenderness
• Limit movement or function
• Cause cosmetic distress
• Show rapid growth
• Change in texture or firmness

Psychological Impact: Visible lipomas can affect self-esteem and quality of life:

• Clothing choices: May avoid styles that reveal lipomas
• Social anxiety: Self-consciousness in public situations
• Body image: Impact on self-perception
• Support resources: Counseling or support groups may help
• Cosmetic camouflage: Makeup or clothing strategies

Managing Multiple Lipomas: Individuals with familial multiple lipomatosis face unique challenges:

• Prioritize removal: Focus on symptomatic or visible lipomas
• Staged procedures: Remove several lipomas over multiple sessions
• Genetic counseling: Understanding inheritance patterns
• Family screening: Relatives may benefit from evaluation
• Research participation: Contributing to studies on lipoma genetics

Lifestyle Considerations: While no lifestyle changes prevent or eliminate lipomas, general health optimization is beneficial:

• Healthy weight: May reduce lipoma size in some cases
• Regular exercise: Improves overall health
• Balanced nutrition: Supports tissue health
• Stress management: Reduces inflammatory processes
• Avoid trauma: Minimize injuries to areas with lipomas

Preventing Abscesses

Unlike lipomas, abscesses can often be prevented through proactive measures:

Personal Hygiene Practices: The foundation of abscess prevention [14]:

Daily Hygiene:

• Regular bathing: Daily showers or baths with soap and water
• Handwashing: Frequent washing, especially before touching face or wounds
• Clean clothing: Daily change of underwear and clothing in contact with skin
• Towel hygiene: Use clean towels, don't share with others
• Nail care: Keep nails trimmed and clean

Shaving Safety: Improper shaving commonly leads to folliculitis and abscesses:

• Clean razors: Use fresh, clean blades
• Shaving cream: Lubricate skin before shaving
• Shave direction: Follow hair growth direction
• Post-shave care: Rinse with cool water, apply moisturizer
• Electric razors: Consider as alternative to reduce skin trauma
• Avoid sharing: Never share razors with others

Skin Care: Maintaining healthy skin creates a barrier against infection:

• Moisturize regularly: Prevents skin cracking
• Treat underlying conditions: Manage acne, eczema, psoriasis
• Avoid picking: Don't squeeze pimples or scratch skin
• Sun protection: Prevents skin damage
• Gentle products: Avoid harsh soaps or irritants

Wound Care: Proper treatment of minor injuries prevents infection:

Immediate Care:

1. Wash thoroughly: Clean with soap and water
2. Apply antibiotic ointment: Triple antibiotic or bacitracin
3. Cover wound: Use clean bandage
4. Change dressing: Daily or when wet/dirty
5. Monitor healing: Watch for signs of infection

Signs of Infected Wound:

• Increasing redness or warmth
• Swelling or pus
• Red streaking
• Fever
• Delayed healing

Diabetes Management: Diabetic individuals face significantly higher abscess risk:

Blood Sugar Control:

• Target HbA1c: Below 7% reduces infection risk
• Regular monitoring: Check blood glucose as directed
• Medication compliance: Take diabetes medications consistently
• Diet management: Follow diabetic meal plan
• Exercise: Regular physical activity improves control

Diabetic Skin Care:

• Daily foot inspection: Check for cuts, blisters, redness
• Proper footwear: Well-fitting shoes prevent injuries
• Moisturize: Prevent dry, cracked skin
• Prompt treatment: Address minor wounds immediately
• Professional care: Regular podiatry visits

Immune System Support: Strong immune function helps prevent and fight infections:

Lifestyle Factors:

• Adequate sleep: 7-9 hours nightly
• Balanced nutrition: Vitamin-rich diet with adequate protein
• Regular exercise: Moderate activity boosts immunity
• Stress reduction: Chronic stress impairs immune function
• Avoid smoking: Tobacco impairs healing and immunity
• Moderate alcohol: Excessive drinking weakens defenses

Nutritional Support:

• Vitamin C: Supports immune function and wound healing
• Vitamin D: Important for immune response
• Zinc: Essential for skin health and healing
• Protein: Necessary for tissue repair
• Hydration: Adequate water intake

Environmental Modifications: Reducing exposure to bacteria decreases infection risk:

Home Environment:

• Clean surfaces: Regular disinfection of frequently touched areas
• Laundry hygiene: Wash clothing and linens in hot water
• Bathroom cleanliness: Regular cleaning and disinfection
• Avoid moisture: Keep skin folds dry
• Air circulation: Prevent warm, humid conditions

Workplace and Public Spaces:

• Gym hygiene: Wipe equipment before use, shower after
• Locker room care: Wear sandals, avoid direct contact with surfaces
• Sports equipment: Clean and disinfect regularly
• Shared spaces: Minimize contact with communal surfaces

Managing Recurrent Abscesses: Individuals with repeated abscesses need additional strategies:

Decolonization Protocols: Eliminating bacterial colonization reduces recurrence:

• Nasal mupirocin: Applied twice daily for 5 days monthly
• Chlorhexidine washes: Full body wash 2-3 times weekly
• Household decolonization: Treat all household members
• Environmental cleaning: Disinfect home thoroughly
• Duration: Often 3-6 months of treatment

Medical Evaluation: Recurrent abscesses warrant investigation for:

• MRSA colonization: Testing and treatment
• Immune deficiency: Blood tests for immune function
• Diabetes screening: Check blood sugar and HbA1c
• Hidradenitis suppurativa: Chronic inflammatory condition
• Other underlying conditions: Inflammatory bowel disease, etc.

Preventive Antibiotics: Occasionally prescribed for high-risk individuals:

• Indication: Recurrent abscesses despite hygiene measures
• Duration: Typically 3-6 months
• Monitoring: Regular follow-up to assess effectiveness
• Risks: Antibiotic resistance, side effects
• Alternative: Reserved for severe cases

Special Populations

Certain groups require tailored prevention strategies:

Athletes:

• Shower immediately after practice or competition
• Avoid sharing towels, razors, or equipment
• Cover wounds before participating
• Clean equipment regularly
• Report infections to coaches promptly

Healthcare Workers:

• Hand hygiene: Frequent washing and sanitizing
• Personal protective equipment: Use appropriately
• Wound coverage: Keep cuts covered
• Occupational health: Report exposures

Immunocompromised Individuals:

• Enhanced hygiene: Meticulous skin care
• Prompt treatment: Address minor wounds immediately
• Prophylactic measures: Discuss with healthcare provider
• Regular monitoring: Frequent medical follow-up

For individuals in the Greater Toronto Area seeking specialized care for skin conditions, centers offering services in Barrie provide accessible options.

Long-Term Outlook

Lipoma Prognosis:

• Benign condition with excellent prognosis
• No malignant transformation (extremely rare)
• Successful removal has low recurrence
• Quality of life impact primarily cosmetic
• No life-threatening complications

Abscess Prognosis:

• Excellent with prompt treatment
• Recurrence preventable with proper hygiene
• Rare serious complications with early intervention
• Underlying conditions require ongoing management
• Prevention strategies highly effective

Understanding these long-term management and prevention strategies in the lipoma vs abscess comparison empowers individuals to take control of their health, minimize recurrence risk, and maintain optimal skin health throughout their lives.

Conclusion: Making Informed Decisions About Lipoma vs Abscess

Understanding the fundamental differences between lipoma vs abscess is essential for anyone who discovers an unexpected lump beneath their skin. While both conditions manifest as palpable masses, their distinct characteristics—from causes and symptoms to treatment approaches—require different management strategies and levels of urgency.

Lipomas represent benign fatty tumors that develop gradually over months or years, typically causing no symptoms beyond cosmetic concerns. These soft, mobile, painless growths pose no serious health threat and can often be safely monitored without treatment. When removal becomes necessary due to size, symptoms, or aesthetic preferences, surgical excision provides a definitive solution with excellent outcomes and low recurrence rates.

Abscesses, in contrast, demand prompt medical attention as active bacterial infections that can lead to serious complications if left untreated. These painful, warm, fluctuant collections of pus require incision and drainage, often supplemented with antibiotics, to eliminate infection and promote healing. Unlike lipomas, abscesses cannot be safely ignored or managed with observation alone.

The key differentiators in the lipoma vs abscess comparison include:

• Timeline: Gradual development (lipoma) versus sudden onset (abscess)
• Texture: Soft and doughy (lipoma) versus firm and fluctuant (abscess)
• Mobility: Freely movable (lipoma) versus fixed (abscess)
• Pain: Usually painless (lipoma) versus painful and tender (abscess)
• Skin changes: Normal appearance (lipoma) versus red, warm, inflamed (abscess)
• Urgency: Elective treatment (lipoma) versus urgent intervention (abscess)

Actionable Next Steps

If you've discovered a lump under your skin, take these important steps:

1. Assess the characteristics: Note the size, texture, mobility, pain level, and any skin changes
2. Consider the timeline: Determine whether it appeared gradually or suddenly
3. Monitor for warning signs: Watch for fever, spreading redness, or increasing pain
4. Seek appropriate care:
   • Lipomas: Schedule routine appointment with primary care or dermatologist
   • Abscesses: Seek urgent evaluation within 24 hours
   • Emergency symptoms: Go to emergency department immediately
5. Document changes: Take photos and keep a symptom journal
6. Practice prevention: Implement hygiene measures to prevent future abscesses
7. Follow through with treatment: Complete prescribed antibiotics and attend follow-up appointments

When Professional Evaluation Is Essential

Don't hesitate to seek medical care if you experience:

• Any new lump that you're uncertain about
• Rapid growth or changes in an existing lump
• Pain, fever, or systemic symptoms
• Multiple lumps developing
• Recurrent abscesses
• Concerns about appearance or function

Professional evaluation provides accurate diagnosis, appropriate treatment, and peace of mind. Specialized centers with expertise in skin conditions and minor surgical procedures offer comprehensive care for both lipomas and abscesses, ensuring optimal outcomes and patient satisfaction.

Empowering Your Health Decisions

Knowledge about the lipoma vs abscess distinction empowers you to:

• Recognize concerning symptoms requiring immediate attention
• Make informed treatment decisions based on accurate information
• Communicate effectively with healthcare providers
• Implement prevention strategies to reduce abscess risk
• Manage expectations about treatment and recovery
• Advocate for appropriate care when needed

Remember that while this information provides valuable guidance, it cannot replace professional medical evaluation. Each individual's situation is unique, and personalized assessment by a qualified healthcare provider ensures the most appropriate diagnosis and treatment plan.

By understanding these fundamental differences and taking proactive steps toward evaluation and treatment when needed, you can confidently manage skin lumps and maintain optimal health. Whether dealing with a benign lipoma or an infected abscess, appropriate care leads to excellent outcomes and resolution of concerns.

References

[1] Charifa A, Azmat CE, Badri T. Lipoma. StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507906/

[2] Bancroft LW, Kransdorf MJ, Peterson JJ, O'Connor MI. Benign fatty tumors: classification, clinical course, imaging appearance, and treatment. Skeletal Radiology. 2006;35(10):719-733.

[3] Salam GA. Lipoma excision. American Family Physician. 2002;65(5):901-904.

[4] Rydholm A, Berg NO. Size, site and clinical incidence of lipoma. Factors in the differential diagnosis of lipoma and sarcoma. Acta Orthopaedica Scandinavica. 1983;54(6):929-934.

[5] Singer AJ, Talan DA. Management of skin abscesses in the era of methicillin-resistant Staphylococcus aureus. New England Journal of Medicine. 2014;370(11):1039-1047.

[6] Talan DA, Mower WR, Krishnadasan A, et al. Trimethoprim-sulfamethoxazole versus placebo for uncomplicated skin abscess. New England Journal of Medicine. 2016;374(9):823-832.

[7] Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2014;59(2):147-159.

[8] Duong M, Markwell S, Peter J, Barenkamp S. Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric patient. Annals of Emergency Medicine. 2010;55(5):401-407.

[9] Mentzel T, Fletcher CD. Lipomatous tumours of soft tissues: an update. Virchows Archiv. 1995;427(4):353-363.

[10] Sandberg AA. Updates on the cytogenetics and molecular genetics of bone and soft tissue tumors: lipoma. Cancer Genetics and Cytogenetics. 2004;150(2):93-115.

[11] Moran GJ, Krishnadasan A, Gorwitz RJ, et al. Methicillin-resistant S. aureus infections among patients in the emergency department. New England Journal of Medicine. 2006;355(7):666-674.

[12] Silistreli OK, Durmuş EU, Ulusal BG, Oztan Y, Görgü M. What should be the treatment modality in giant cutaneous lipomas? Review of the literature and report of 4 cases. British Journal of Plastic Surgery. 2005;58(3):394-398.

[13] Llera JL, Levy RC. Treatment of cutaneous abscess: a double-blind clinical study. Annals of Emergency Medicine. 1985;14(1):15-19.

[14] Fritz SA, Hogan PG, Hayek G, et al. Household versus individual approaches to eradication of community-associated Staphylococcus aureus in children: a randomized trial. Clinical Infectious Diseases. 2012;54(6):743-751.

‍