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As you may know, a lipoma is a type of benign tumour composed of fatty tissue.
However, this fat is not structural nor can it be metabolised (broken down) and so it will ultimately need to be removed via surgery if it continues to spread and cause pain.
After a year, it is perhaps time to ask your doctor to move in this direction so that you can have the cause of the pain taken away.
Best wishes
Earle
Do you have questions? Please feel free to ask.
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