a Small Tumor on the Shoulder Blade: Risks and Insights - Oncology

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A tumor has developed inside the acromion of the scapula?


Hello, I have discovered a small lump at the acromion of my scapula.
When I first found it (in August-September), there was some mild pain, but it has since remained about the same size (less than 1 cm) and is not painful.
It is oval-shaped, movable, and does not cause any pain or itching under normal circumstances.
What type of tumor could this be? Is there any risk associated with it? Thank you.

Xiao Yu, 30~39 year old female. Ask Date: 2017/11/20

Dr. Hu Ziren reply Oncology


Typically, lesions that are painless, non-itchy, and score below one on a scale of one to ten are mostly benign tumors, such as lipomas.
It is recommended to simply observe them.

Reply Date: 2017/11/20

More Info


When you discover a small lump on your shoulder blade, particularly one that is less than 1 cm in size, movable, and not painful or itchy, it is understandable to be concerned about its nature and potential risks. Based on the characteristics you've described, it is likely that this lump is a benign tumor, such as a lipoma. Lipomas are soft tissue tumors composed of fat cells and are the most common type of benign tumor found in adults. They typically present as soft, movable lumps under the skin and are usually painless.

The fact that your lump has remained stable in size and has not caused ongoing pain is a positive sign. Benign tumors like lipomas generally do not pose significant health risks, especially if they are not causing discomfort or functional impairment. However, it is essential to monitor any changes in size, shape, or symptoms associated with the lump. If it begins to grow, becomes painful, or if you notice any other concerning symptoms, it would be prudent to seek medical evaluation.

In some cases, other types of benign tumors or cysts can present similarly. For instance, a sebaceous cyst, which is a closed sac under the skin filled with a thick, oily substance, can also feel movable and may not cause pain unless infected. While these conditions are generally harmless, they can sometimes become infected or inflamed, leading to discomfort.

On the other hand, while the likelihood of your lump being malignant (cancerous) is low given its characteristics, it is crucial to remain vigilant. Malignant tumors can sometimes present similarly, particularly in their early stages. If there is any doubt or if the lump changes in any way, a healthcare professional may recommend imaging studies, such as an ultrasound or MRI, to assess the lump further. In some cases, a biopsy may be necessary to definitively determine the nature of the tumor.

In summary, based on your description, the small lump on your shoulder blade is likely a benign condition, such as a lipoma or a sebaceous cyst. It does not appear to pose a significant risk at this time, but continued observation is essential. If you have any concerns or if the lump changes, do not hesitate to consult with a healthcare provider for a thorough evaluation and peace of mind. Regular check-ups and being proactive about any changes in your body are key components of maintaining good health.

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