Hard Bumps on the Chest: Causes and Concerns - Dermatology

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A small hard lump has developed next to the chest?


I have attached two images for the doctor to assess: https://upload.cc/i1/2020/08/05/To8QCM.jpg and https://upload.cc/i1/2020/08/05/aVP8Lx.jpg.
Initially, there were only white bumps that were neither painful nor itchy, and I thought they would resolve on their own.
However, it has been six months, and there is a trend of extension (red raised hard lumps).
I kindly ask the doctor to help me identify the issue.
Thank you.

Andy, 20~29 year old female. Ask Date: 2020/08/05

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "physicians must personally examine patients before administering treatment or prescribing medications," and therefore, online diagnosis is not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/08/05

More Info


When it comes to understanding hard bumps on the chest, there are several potential causes that could be at play. The images you provided, while I cannot view them directly, suggest that you may be dealing with a dermatological issue, a benign growth, or possibly something more serious. It’s important to consider the characteristics of the bumps, such as their size, color, texture, and whether they are painful or itchy.

One common cause of hard bumps on the chest is the presence of sebaceous cysts. These are non-cancerous lumps that form beneath the skin when a hair follicle becomes clogged with oil and dead skin cells. They are typically painless and can vary in size. Over time, they may become inflamed or infected, leading to redness and tenderness.

Another possibility is dermatofibromas, which are small, firm nodules that can appear on the skin. They are usually harmless and often do not require treatment unless they become bothersome or painful. These growths are typically brownish in color and can feel hard to the touch.

If the bumps are red and have an extending trend, it could indicate an inflammatory condition, such as folliculitis, which is the inflammation of hair follicles. This condition can be caused by bacterial or fungal infections and may require treatment with topical or oral medications.

In some cases, hard bumps can be a sign of more serious conditions, such as lipomas (benign tumors made of fat tissue) or, although rare, skin cancers. Skin cancers can present in various forms, including basal cell carcinoma, squamous cell carcinoma, or melanoma, and they often require prompt evaluation and treatment.

Given that the bumps have persisted for over six months and are showing signs of extension, it is advisable to seek a professional evaluation from a dermatologist. They can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the bumps. Early diagnosis is crucial, especially if there is any concern about malignancy.

In the meantime, here are some general recommendations:
1. Avoid Picking or Squeezing: This can lead to infection or scarring.

2. Monitor Changes: Keep an eye on the bumps for any changes in size, color, or texture, as well as any new symptoms such as pain or discharge.

3. Maintain Good Hygiene: Regular cleansing of the area can help prevent infections.

4. Document Symptoms: Take note of any other symptoms you may experience, such as itching, pain, or systemic symptoms like fever, which can provide valuable information to your healthcare provider.

In conclusion, while there are several benign explanations for hard bumps on the chest, the persistence and changes you describe warrant a professional evaluation. A dermatologist will be able to provide a definitive diagnosis and appropriate treatment options based on their findings. Don’t hesitate to reach out to a healthcare provider for peace of mind and to ensure your health is prioritized.

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