Possible Causes of a Bump Below the Elbow: What You Should Know - Oncology

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A protrusion below the elbow that appears to be a bruise?


Hello doctor, in the past few months, I have noticed a protrusion below my elbow that feels like a bruise when I touch it.
Sometimes it appears more flat, but it looks very much like a bruise.
However, it does not feel uncomfortable when pressed.
Could you please tell me what this issue might be? Thank you for your response.
Below is the link to the photo of my elbow: https://imgur.com/a/38jq3

merci, 30~39 year old female. Ask Date: 2018/03/06

Dr. Chen Sirong reply Oncology


Thank you for your inquiry.
Based on the elbow photo, it appears that there is a benign tumor present.
However, the physician cannot guarantee that it is 100% benign unless it is surgically removed and sent for pathological examination.
Generally, the options are as follows: 1.
You can undergo an outpatient surgical excision now.
2.
If the tumor increases in size, changes color, or causes discomfort, you should consider surgery.
You may consult with a general surgeon or a plastic surgeon.
Thank you for your message.
Dr.
Chen Sih-Rong, Taoyuan Hospital.

Reply Date: 2018/03/06

More Info


When it comes to a bump below the elbow that resembles a bruise but does not cause discomfort upon pressure, there are several potential causes to consider. It's important to note that without a physical examination and imaging studies, it can be challenging to provide a definitive diagnosis. However, I can outline some common possibilities and considerations based on your description.


Possible Causes
1. Lipoma: A lipoma is a benign tumor made up of fat tissue. They are usually soft, movable, and painless. Lipomas can occur anywhere in the body, including the area below the elbow. They often feel like a rubbery lump under the skin.

2. Ganglion Cyst: These are fluid-filled sacs that can develop near joints or tendons, often appearing as a lump. They are typically benign and can fluctuate in size. Ganglion cysts are most commonly found on the wrist but can also occur near the elbow.

3. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can lead to swelling in the elbow region. While bursitis usually causes pain and tenderness, it can sometimes present as a painless bump.

4. Hematoma: If there was any recent trauma to the area, a hematoma (a localized collection of blood outside of blood vessels) could form. Although you mentioned that it does not feel like a bruise, it’s worth considering if there was any unnoticed injury.

5. Tendon or Ligament Issues: Sometimes, thickening of tendons or ligaments due to overuse or inflammation can create a noticeable bump. This is often associated with conditions like tendinitis.

6. Skin Lesions: Other skin-related issues, such as dermatofibromas or sebaceous cysts, could also present as bumps under the skin. These are usually harmless but can be evaluated by a dermatologist.


Recommendations
- Observation: Since the bump is not painful and does not seem to be causing any functional issues, it may be reasonable to monitor it for any changes in size, shape, or symptoms.

- Consultation: If the bump persists, changes, or if you develop any new symptoms (such as pain, redness, or warmth), it would be advisable to consult a healthcare provider. They may perform a physical examination and possibly recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the bump.

- Avoid Self-Diagnosis: While online resources can provide general information, they cannot replace a professional medical evaluation. It’s essential to have a healthcare provider assess the bump to rule out any serious conditions.


Conclusion
In summary, while there are several benign explanations for a bump below the elbow that resembles a bruise, it is crucial to keep an eye on it and consult a healthcare professional if there are any changes or concerns. Early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly.

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