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Lipoma vs. Cancer: When Your 'Ganth' Needs Urgent Attention (The Red Flags)

  • Writer: Kumar Rishank
    Kumar Rishank
  • Nov 17, 2025
  • 2 min read

Discovering a lump under your skin, often called a "Ganth" or Lipoma in Bihar, instantly sparks fear—is it cancer? The good news is that the vast majority of these lumps are benign (non-cancerous) Lipomas.1 However, a small percentage of fatty lumps can be a sign of a rare but aggressive cancer called Liposarcoma.


Knowing the difference between a harmless Lipoma and a dangerous Red Flag is the difference between simple observation and life-saving diagnosis.


Understanding the Harmless Lipoma (The Green Flags)


Most lumps encountered by people in Bihar are simple Lipomas. They exhibit these common, reassuring characteristics:

Characteristic

Description

Significance

Texture

Soft, doughy, and rubbery to the touch.

Indicates fatty tissue, not dense, hard tumor growth.

Mobility

Easily movable (slipping and sliding) under gentle finger pressure.

Confirms it is superficial and not attached to muscle or deep tissue.

Growth Rate

Extremely slow-growing (may take years to change size).

Benign tumors grow slowly; aggressive tumors grow quickly.

Pain

Typically painless, unless located near a nerve or joint.

Simple Lipomas rarely cause pain unless pressing on adjacent structures.


⚠️ The Red Flags: When Your 'Ganth' Demands Immediate Action


If your lump shows any of the following characteristics, you must consult a surgical specialist at Ashirvad (Dr Binod Healthcare) immediately for advanced imaging and possibly a biopsy:

Red Flag

What It Means

Why It’s Dangerous

1. Rapid Growth

The lump seems to double in size over weeks or a few months.

Cancerous cells multiply aggressively. Rapid growth is the single most important warning sign.

2. Painful Ganth

The lump is spontaneously painful, deep, or causes sharp discomfort without external pressure.

While Angiolipomas can be painful, intense, unexplained pain is atypical for a standard benign Lipoma.

3. Fixed to Deep Tissue

The lump is hard and fixed (it does not move) when you push on it.

This suggests the mass has roots in deeper structures like fascia or muscle—a primary characteristic of Liposarcoma.

4. Large Size and Depth

The lump is very large (typically over 5 cm or 2 inches) and feels deep inside the limb or trunk, not just under the skin.

Larger, deeper masses are more likely to be malignant and require specialized diagnosis.

5. Changes to Overlying Skin

The skin over the lump is discolored (red/blue), looks bruised, or has ulcerated (broken open).

This indicates intense inflammation or compromised blood supply, which warrants urgent investigation.


The Ashirvad (Dr Binod Healthcare) Diagnostic Advantage


We never assume a lump is harmless based on physical exam alone if a red flag is present. We confirm the diagnosis using:

  • Ultrasound: To confirm the mass is indeed fat and to check its depth and blood supply.

  • MRI/CT Scan: For large, deep, or fixed lumps to map their precise relationship with muscles and organs.

  • Biopsy: If imaging is inconclusive, a small tissue sample is the only way to definitively rule out Liposarcoma.2


Do not self-diagnose your lump. If you notice any Red Flags, the expert surgical team at Ashirvad ( Dr Binod Healthcare) is prepared to provide the rapid, accurate diagnosis and safe surgical removal needed to protect your health.


Book Appointment:

Whatsapp - 9934034444

Patna - 9835240597

Biharsharif - 06112-233502

 
 
 

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