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Classification:

1. Single encapsulated:

• This is a single, soft, slow-growing, painless and semi fluctuant swelling.
• The swelling is soft, may feel cystic with fluctuation.
• This is also called pseudo fluctuation.
• Commonly present as a subcutaneous swelling.
• It is freely mobile.
• The flank is the commonest site.
• Dimpling sign: Fibrous bands connect a lipoma to the skin.
• When the skin moved, a dimple appears on the skin

2. Multiple lipomatosis

• Such lipomas are multiple and very often tender because of nerve elements mixed with them.
• Hence, they are called multiple neurolymphomatosis.
• Decrumb s disease is one example of this variety (Adipose dolorosa) wherein tender, lipomatous swellings are present in the body, mainly the trunk.

3. Uncapsulated (diffuse)

• Diffuse variety is a rare type of lipoma.
• It is called pseudo lipoma.
• It is an overgrowth of fat without a capsule.

• Histological types:

1. Fibro: Since fibrous tissue is mixed with fat, lipoma feels hard.
2. Neuro: Painful lipoma, because of presence of nerve elements.
3. Naevo: It is usually relatively a vascular but this variety is vascular.