Hepatic lipoma has a relatively low detection rate in physical examinations and is a relatively rare type of benign liver tumor. Hepatic lipoma is mainly composed of mature adipocytes, most of which grow slowly and have no obvious symptoms. It is often accidentally discovered during imaging examinations.

The incidence rate of hepatic lipoma is not supported by large-scale epidemiological data, but clinical observation shows that its detection probability in healthy people is significantly lower than that of common benign diseases such as hepatic hemangioma. In ultrasound examination, typical hepatic lipoma appears as a well-defined hyperechoic mass, and CT scan shows characteristic features of fat density. This type of tumor is more common in middle-aged people and has a weaker association with factors such as obesity and metabolic syndrome, which is different from the pathogenesis of non-alcoholic fatty liver disease. The vast majority of hepatic lipomas have a diameter of less than 5 centimeters and do not pose a risk of liver dysfunction or malignancy, usually requiring no special treatment. Regular follow-up observation is the main management method, and surgical resection is only considered when the tumor volume is too large or when compression symptoms occur.
It is recommended that patients with detected hepatic lipoma undergo 1-2 ultrasound re examinations per year to avoid excessive anxiety. Daily attention should be paid to maintaining a balanced diet and regular exercise. Although controlling blood lipid levels cannot directly affect tumor development, it is helpful for overall liver health. If there are abnormal conditions such as right upper abdominal pain and rapid tumor growth during follow-up, it is necessary to promptly seek medical evaluation at the hepatobiliary surgery department.
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