Post-Injury Growths: When to See a Specialist - Oncology

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After recovering from a tibial injury, a small tumor-like growth has developed?


Hello Doctor, about a year ago at work, I was struck on the tibial area by a metal rod.
It was extremely painful and swollen at the time.
After a few weeks, the pain subsided, but it remained soft and swollen.
I attempted self-massage, which resulted in increased pain and swelling.
Now, the area that was originally flesh-colored has become increasingly itchy, and I have developed a habit of pressing on the affected area, which has turned darker.
The skin over the affected area has become rougher and slightly harder.
I would like to ask whether I should see an orthopedic specialist or a dermatologist, and what treatment options are available, including the possibility of surgical excision.
Thank you!

Xiao Fu, 40~49 year old female. Ask Date: 2020/05/22

Dr. Hu Ziren reply Oncology


It is recommended to see an orthopedic specialist.

Reply Date: 2020/05/22

More Info


Based on your description, it sounds like you may be experiencing a condition related to soft tissue injury and possibly post-traumatic changes in the area where you were struck by the iron rod. The symptoms you describe, including persistent swelling, changes in skin color, and increased hardness of the tissue, suggest that there may be underlying issues that need to be addressed.

When it comes to post-injury growths or changes in the skin and underlying tissues, it's essential to consider a few factors. First, the initial trauma you experienced could have led to a hematoma (a localized collection of blood outside of blood vessels) or other soft tissue injury. Over time, if the hematoma did not resolve properly, it could lead to fibrosis (thickening and scarring of connective tissue), which may explain the hardness and changes in texture you are experiencing.

The itching sensation you mentioned could be a sign of irritation or inflammation in the affected area. It's also possible that the skin changes, such as the darkening and roughness, could be related to chronic inflammation or even a condition known as post-traumatic hyperpigmentation.

Given the complexity of your symptoms, it would be advisable to consult with a specialist. In this case, both an orthopedic surgeon and a dermatologist could provide valuable insights. An orthopedic surgeon can evaluate the underlying bone and soft tissue structures to determine if there are any complications related to the injury, such as bone involvement or significant soft tissue damage that may require surgical intervention. They can also assess whether there is a need for imaging studies, such as an X-ray or MRI, to get a clearer picture of the injury.

On the other hand, a dermatologist can assess the skin changes and provide treatment options for the skin condition you are experiencing. They can evaluate whether the changes are purely dermatological or if they are related to the underlying injury. If there is a need for surgical intervention to remove any abnormal growths or to address significant skin changes, a dermatologist would be well-equipped to handle that as well.

In terms of treatment, it will depend on the findings from your consultations. If there is significant fibrosis or a hematoma that has not resolved, physical therapy may be recommended to help improve mobility and reduce discomfort. In some cases, corticosteroid injections may be used to reduce inflammation and promote healing. If there are any growths that are concerning, surgical excision may be necessary.

In summary, it is essential to seek a comprehensive evaluation from both an orthopedic specialist and a dermatologist. They can work together to determine the best course of action based on your specific condition. Early intervention can help prevent further complications and improve your overall recovery. Don't hesitate to reach out to your healthcare provider to schedule these consultations. Your health and well-being are paramount, and addressing these issues sooner rather than later can lead to better outcomes.

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