Suspicious Skin Growths: When to Seek Medical Attention - Dermatology

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Suspected sarcoma


Hello Doctor, I have a growth that resembles a sarcoma near the first joint of my right middle finger, close to the nail.
It has been rapidly growing over the past month.
I usually work with chopping chicken and fish, and I'm wondering if it could be an infection.
A few days ago, I visited the dermatology department at Linkou Chang Gung Memorial Hospital, and the doctor advised me to buy corn pads and apply them for 48 hours.
If they fall off, I should not touch them to avoid infection, and if the growth expands, I should return for surgery.
Today, I removed the corn pad, and the growth has increased in size.
It is now approximately 0.5 cm in both length and width, and the color has changed to white, resembling a callus, and it feels hard.
Currently, there is no open wound.
Should I cover it with an adhesive bandage (OK band) now, or should I continue using the corn pad? Given that the Lunar New Year is approaching, is there an urgency for me to seek treatment immediately?

Guo Xiaojie, 40~49 year old female. Ask Date: 2017/01/24

Dr. Wu Yuxin reply Dermatology


Based on the symptoms, if you feel unwell, you should seek medical attention promptly; cryotherapy may be an option for treatment.

Reply Date: 2017/01/24

More Info


When it comes to suspicious skin growths, such as the one you described on your right middle finger, it is crucial to approach the situation with caution and seek appropriate medical attention. The rapid growth of a lesion, especially one that changes color and texture, warrants further evaluation by a healthcare professional.
From your description, it seems that the growth has increased in size and has changed from a flesh-colored appearance to a white, hard texture, resembling a callus. This change, along with the fact that it has been growing quickly, raises concerns about its nature. While it is possible that it could be a benign condition, such as a wart or a callus, the rapid growth and change in characteristics could also indicate a more serious condition, such as a skin tumor or other dermatological issue.

You mentioned that a doctor advised you to use a corn patch (chicken eye patch) for 48 hours and to avoid touching it to prevent infection. This is a common initial treatment for warts or similar lesions, but if the growth continues to expand or change, further medical evaluation is necessary. The fact that the lesion has not only persisted but has also grown larger after the treatment suggests that it may not be responding as expected.

In terms of whether to cover the lesion with an adhesive bandage (OK band) or continue using the corn patch, it is essential to follow the advice of your healthcare provider. If the lesion is still intact and there is no open wound, covering it may help protect it from further irritation or potential infection. However, if the growth is changing and causing you concern, it is advisable to seek a follow-up appointment with a dermatologist or the healthcare provider who initially assessed it.

As for the urgency of the situation, while it may not be an emergency, it is important to address it sooner rather than later, especially given the rapid changes you have observed. Skin lesions that grow quickly or change in appearance should be evaluated promptly to rule out any serious conditions.
In summary, I recommend the following steps:
1. Seek Medical Attention: Schedule an appointment with a dermatologist as soon as possible. Bring any previous medical records or notes from your prior visit for reference.

2. Monitor Changes: Keep an eye on the lesion for any further changes in size, color, or texture. Document these changes if possible, as they can provide valuable information to your healthcare provider.

3. Avoid Self-Treatment: While it may be tempting to continue using over-the-counter treatments or home remedies, it is best to avoid self-treatment until you have a clear diagnosis from a medical professional.

4. Protect the Area: If advised by your doctor, you can cover the area with a bandage to protect it from irritation, but avoid excessive manipulation of the lesion.

5. Follow-Up: If the lesion worsens or if you experience any additional symptoms, such as pain, bleeding, or signs of infection (redness, warmth, swelling), seek immediate medical attention.

In conclusion, while it is understandable to feel concerned about changes in your skin, taking proactive steps to consult with a healthcare professional will provide you with the best course of action and peace of mind regarding your health.

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