Can a color ultrasound confirm the diagnosis of a lipoma?

Generally, color Doppler ultrasound can assist in the diagnosis of lipomas, but it cannot serve as the sole basis for definitive diagnosis. Final confirmation requires combining other examinations or pathological biopsy. The specific differentiation is as follows:

Color Doppler ultrasound can reveal the size, shape, and blood flow of a lipoma, helping to preliminarily assess the nature of the lesion. However, on ultrasound images, lipomas may resemble other soft tissue tumors such as liposarcomas or sebaceous cysts. It is difficult to accurately differentiate these lesions based on ultrasound alone. Pathological biopsy allows microscopic examination of the collected tissue to determine cell types and structural characteristics—information that ultrasound cannot provide. Other diagnostic tests also contribute valuable information from different perspectives. Therefore, color Doppler ultrasound must be combined with these methods to achieve a definitive diagnosis.

After undergoing a color Doppler ultrasound, if results suggest a possible lipoma, patients should promptly consult their doctor and complete any recommended follow-up examinations. Do not disregard further evaluation based solely on preliminary ultrasound findings, nor attempt to self-diagnose or delay medical consultation, to avoid improper management due to an uncertain diagnosis. Ensuring accurate diagnosis is essential for receiving appropriate treatment.