Why Your Tibial Lump Is Growing Larger - Orthopedics

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Tibial mass


But why is my lump getting bigger?

Jia Yi, 10~19 year old female. Ask Date: 2016/08/03

Dr. Shi Guozheng reply Orthopedics


If the lump on the tibia is increasing in size, it is important to first assess how long it has been growing, whether it is hard or soft, its exact location, and whether there is any associated pain.
It is advisable to consult a physician for an examination, as the tumor could potentially be benign or have other characteristics.

Reply Date: 2016/08/03

More Info


The growth of a lump on the tibia, or any bone for that matter, can be concerning and warrants careful consideration. There are several potential explanations for why a lump on your tibia might be increasing in size. Understanding the underlying mechanisms can help you determine the appropriate course of action.

Firstly, it is essential to recognize that bone lumps can arise from various conditions, including benign growths, infections, or even malignant tumors. The most common benign bone tumors include osteochondromas, which are cartilage-capped bony projections that typically occur near the growth plates of long bones. These can sometimes grow larger during periods of skeletal growth, particularly in younger individuals. If you are still in your growth phase, it is possible that a benign growth could be enlarging as your body continues to develop.

Another possibility is that the lump could be a result of a condition known as a bone cyst. Bone cysts can be either simple or complex and may occur due to various reasons, including trauma or underlying metabolic conditions. Simple bone cysts are fluid-filled sacs that can expand over time, leading to a noticeable increase in size. If the lump is indeed a cyst, it may require monitoring or treatment, depending on its size and symptoms.

Infections can also lead to the formation of lumps on bones. Osteomyelitis, an infection of the bone, can cause swelling and tenderness in the affected area. If the lump is accompanied by pain, redness, warmth, or fever, it is crucial to seek medical attention promptly, as infections can lead to serious complications if left untreated.

On the other hand, if the lump is hard and growing progressively larger, it could be indicative of a more serious condition, such as a malignant bone tumor. While these are less common, they can occur and may present with symptoms such as pain, swelling, and changes in the surrounding tissue. If there is any suspicion of malignancy, imaging studies such as X-rays, CT scans, or MRIs, along with a biopsy, may be necessary to establish a definitive diagnosis.

It is also worth noting that some lumps may be related to soft tissue conditions rather than bone itself. For example, a lipoma, which is a benign tumor of fatty tissue, can develop in the soft tissue overlying the tibia and may be mistaken for a bone lump. These typically grow slowly and are generally harmless but can be removed if they become bothersome.

In conclusion, the increasing size of a lump on your tibia can be attributed to various factors, including benign growths, cysts, infections, or even malignant tumors. It is essential to monitor the lump for any changes in size, shape, or associated symptoms such as pain or discomfort. If you notice significant growth or any concerning symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies or a biopsy to determine the exact nature of the lump and the appropriate treatment options. Early diagnosis and intervention can significantly improve outcomes, especially in cases where the lump may be indicative of a more serious condition.

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