a Bump Under the Left Clavicle: Lipoma or Vascular Tumor? - Surgery

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Protrusion under the left clavicle?


I have had a lump on my body for several years, which I first noticed in middle school.
Recently, I accidentally pressed on it and experienced pain along with a sensation of the lump pulsating.
After researching online, I became worried that it might be a vascular tumor near my clavicle, but a friend suggested it could be a lipoma.
I have already made an appointment with the surgical department at Chang Gung Memorial Hospital.
Can they help me determine if it is a lipoma? I previously had a skin condition and visited a dermatologist, but I always forget to ask about the lump below my left clavicle.

Wuwu, 20~29 year old female. Ask Date: 2016/11/26

Dr. Li Zhonghuai reply Surgery


Hello! Don't worry for now! Skin lumps are mainly lipomas and sebaceous cysts, and you can visit a general surgeon who will help you with the treatment.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/11/26

More Info


When it comes to a bump under the left clavicle, distinguishing between a lipoma and a vascular tumor is crucial for appropriate management. A lipoma is a benign tumor made up of fatty tissue, typically soft, movable, and painless. They are common and generally do not require treatment unless they cause discomfort or cosmetic concerns. On the other hand, a vascular tumor, such as a hemangioma, involves blood vessels and may present with pulsation or tenderness, especially if it is located near the surface of the skin or if it is compressing surrounding structures.

Given that you have had this bump for several years and have only recently experienced pain and a pulsating sensation upon pressure, it is essential to consider a few factors. The history of the bump being present for a long time without significant changes is more suggestive of a lipoma. However, the new symptoms of pain and pulsation could indicate a change in the nature of the bump, warranting further investigation.

Your upcoming appointment with the surgical department is a good step. Surgeons are trained to evaluate such masses through physical examination and imaging studies if necessary. They may perform an ultrasound or MRI to assess the characteristics of the bump more accurately. Ultrasound can help differentiate between solid and cystic masses and provide information about vascularity, which is crucial in determining whether the mass is a lipoma or a vascular tumor.

If the bump is indeed a vascular tumor, the treatment approach may vary. Some vascular tumors may require surgical intervention, especially if they are symptomatic or growing. In contrast, lipomas are often removed for cosmetic reasons or if they become painful.
It is also important to communicate your concerns and symptoms clearly during your appointment. Mention the history of the bump, the recent changes, and any other symptoms you may have experienced. This information will help the healthcare provider make a more informed assessment.

In summary, while the characteristics of the bump under your left clavicle may lean towards a lipoma, the recent changes in sensation and pain necessitate a thorough evaluation. Your scheduled appointment with the surgical department will be instrumental in determining the exact nature of the bump and the appropriate course of action. It’s always better to err on the side of caution when it comes to changes in your body, so seeking professional advice is the right approach.

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