Comments

You must log in or register to comment.

veginamite t1_j3bav8s wrote

"Benign tumours" casts a very wide net and some firm definitions would be needed to delve into the specifics of the majority. I presume this question is being asked as you or a family member has multiple lipomata.

Lipomata are not fully understood - we interpret them as predominantly benign adipose tumours that occur in many populations, not just humans. Contemporary thought suggests those with the Murine Double Minute 2 gene are more "atypical" and thus have a greater chance to grow aggressively (locally) relative to a standard lipomatous lesion. This does not necessarily mean they are malignant though. Of course they may end up being liposarcomas, but these are super rare. So all in all, the more lipomas an individual has you could suggest they are more likely to have one that is aggressive and possibly malignant purely based on the sheer number. The rate is negligible though and on a practical basis you're more likely to get another harmful cell type malignancy. As others have pointed out there is not much point researching further into lipomas because the morbidity and mortality is tiny.

Other lesions can be associated with increased risk of malignancy, however; epidermoid cysts are very common and are never aggressive; although, for instance, a lot of them being present can be sequelae to Familial Adenomatous Polyposis (FAP) aka Gardner Syndrome in which polyps grow and almost always progress to malignancy unless treated. Although you would suppose that is not the lesion itself being cancerous, just associated.

Much like all of medical science, there aren't black and white rules to lumps and bumps; just trends, relationships, and probabilities. The likelihood of a lipoma turning nasty is very very low (e.g. NHS sarcoma service data suggests the UK gets <1000 full blown liposarcoma diagnoses in total in a year, when you consider how many lipomas there are around the ratio is absurd).

Edit: https://pubmed.ncbi.nlm.nih.gov/25308007/ https://www.webpathology.com/image.asp?case=665&n=7#:~:text=MDM2%20stands%20for%20Murine%20Double,%25%20to%2037%25%20of%20sarcomas.

327

Item_Successful t1_j3bjzmn wrote

Just to add, there are certain multiple tumour syndromes that have an increased risk of lipomas as well as malignant tumours, e.g. MEN1, Cowden's.

68

pyro5050 t1_j3c7k05 wrote

so, how would one go about seeing if they have one of these syndroms?

i had counted, when i was much lighter than now, just over 160 lipoma, they are showing up again as i lose weight (yay!) but now i gotta wonder, what else is possibly going on?

30

Item_Successful t1_j3c7zix wrote

You are far more likely to have a benign condition than a genetic multi-tumour syndrome which risks malignancy.

That being said, if you have any other risk factors, e.g. family history or personal history of other tumours, you may need to see a genetic service who can screen for the relevant mutations.

26

creative_usr_name t1_j3d1kzn wrote

Good job on losing weight. Because that alone does have an effect on cancer rates.

17

-Metacelsus- t1_j3bv3cu wrote

> those with the Murine Double Minute 2 gene

Everyone has the MDM2 gene, I think you mean the tumors with a mutation in MDM2.

18

CecilMakesMemes t1_j3bs6pu wrote

I would also clarify that FAP by itself is different from Gardner syndrome. Gardner syndrome is FAP + osteomas, Desmoid tumors, cysts, etc.

14

[deleted] t1_j3amz94 wrote

[removed]

101

[deleted] t1_j3as9n4 wrote

[removed]

16

[deleted] t1_j3atmzh wrote

[removed]

27

[deleted] t1_j3axvfs wrote

[removed]

4

[deleted] t1_j3au1bq wrote

[removed]

−5

[deleted] t1_j3a6vub wrote

[removed]

40

FlyingDesktop t1_j3d9xo8 wrote

In some cases, yes. For example having a lot of nevi on your body is considered an increased risk of developing malignant melanoma. Also, certain conditions that manifest in mulitple benign neoplasms also predispose to cancer. Familial adenomatous polyposis, and xeroderma pigmentosus for example.

I dont think growing some extra lipomas are any riskfactor for cancer in general, and frankly having some extras benignies in different tissues dont give an increased risk for cancer generally as far as i know. The examples i can think of is more specific conditions with a mutation affecting certain organ tissues.

But its an interesting question, it is certainly possible. But it would be difficult to study, as there are many benignies on the body, and some tissues have more than others, how to quantify and qualify "lots of benignies". Furthermore tie it to certain cancers. Cancer is a grouo of very different diseases

12