There is a hard lump in the thigh?
Hello Doctor, a couple of days ago while sitting, I accidentally felt a round, hard mass on the outer side of my thigh, about the size of an egg.
It is not visible from the outside, and I can't really feel it when standing, but when I squat or sit, I can clearly feel a round protrusion under my palm.
It doesn't hurt when I press on it, and it seems immovable, which makes me a bit worried because I know some cancerous lumps can be painless and immovable.
I would like to ask what I should do next, and which specialist I should see for an examination.
Thank you, Doctor.
Jill, 10~19 year old female. Ask Date: 2016/04/25
Dr. Lai Yicheng reply Oncology
Dear Ms.
Jill: Thank you for your inquiry.
You may consult the Dermatology and Surgery departments at Changhua Hospital.
Best regards, Dr.
Lai Yi-Cheng, Radiation Oncology.
Reply Date: 2016/04/25
More Info
It sounds like you have discovered a hard lump on the outer side of your thigh, which has understandably raised some concerns for you. It’s important to approach this situation with a clear understanding of what it could mean and the steps you should take to address it.
First and foremost, it’s essential to recognize that not all lumps or bumps are indicative of a serious condition. Many benign (non-cancerous) conditions can cause lumps, such as lipomas (fatty tumors), cysts, or even muscle knots. However, it’s also true that certain types of lumps can be more serious, including tumors that may require further investigation.
Given that the lump is hard, round, and not painful, it’s wise to seek medical advice. The fact that it is not movable and does not cause discomfort can be concerning, as you mentioned, since some malignant tumors can present in a similar manner. However, the absence of pain is not a definitive indicator of cancer, as many benign conditions can also present this way.
Here’s what you should do next:
1. Schedule an Appointment: The first step is to consult a healthcare professional. You can start by visiting your primary care physician (PCP), who can perform an initial evaluation. If you do not have a PCP, you can go to a walk-in clinic or urgent care center.
2. Specialist Referral: Depending on the findings during your initial visit, your doctor may refer you to a specialist. Typically, a lump like the one you described would be evaluated by an orthopedic surgeon or a general surgeon, as they specialize in conditions affecting the musculoskeletal system and soft tissues.
3. Diagnostic Imaging: Your doctor may recommend imaging studies such as an ultrasound or MRI to get a clearer picture of the lump. These imaging techniques can help determine the size, shape, and characteristics of the lump, which can provide valuable information for diagnosis.
4. Biopsy: If the imaging studies suggest that the lump could be suspicious, your doctor may recommend a biopsy. This procedure involves taking a small sample of tissue from the lump to be examined under a microscope for any signs of cancer or other abnormalities.
5. Monitor Symptoms: While waiting for your appointment, keep an eye on the lump. Note any changes in size, shape, or symptoms such as pain, redness, or warmth. If you experience any new symptoms, such as fever or unexplained weight loss, contact your doctor immediately.
6. Stay Informed: Educate yourself about potential conditions that could cause lumps. Understanding the possibilities can help you have informed discussions with your healthcare provider.
In conclusion, while it’s natural to feel anxious about discovering a lump, taking proactive steps by consulting a healthcare professional is the best course of action. Early evaluation and diagnosis are crucial in addressing any potential issues effectively. Remember, most lumps are benign, but it’s always better to err on the side of caution and get a professional opinion. Your health and peace of mind are paramount, so don’t hesitate to seek help.
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