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I am a cancer doctor
the vast majority of lipomas, even at 10cm in size are benign and stable and not cancerous
if the lipoma bothers you, you can see a cosmetic surgeon to have it removed.
but the large size doesn't make it more worrisome for being cancerous or a sarcoma.
no, it is not common to see an orthopedic doctor following an ultrasound for a lipoma.