There is a lump about five centimeters above the ankle on the calf?
Hello Doctor: Last year, I discovered a subtle lump about five centimeters above my ankle, measuring approximately three centimeters.
The lump is somewhat hard and not very mobile; it requires a bit of pressure to feel it, and pressing hard does not cause pain.
At that time, I thought it wasn't serious, so I didn't seek further treatment after consulting with a doctor.
Recently, I noticed that the lump has become more prominent; I can feel the protrusion with slight pressure, although it is not very visible on the surface.
It has also started to cause some pain when pressed harder, but its size is about the same as last year.
Could this be a malignant tumor? (I read online that malignant tumors are hard and immobile.) Should I seek medical attention immediately? (I have been hesitant to go out during the pandemic, which is why I am asking online.) Thank you very much for your help and advice!
Li, 10~19 year old female. Ask Date: 2021/06/08
Dr. Peng Xianwen reply Surgery
Determining the condition based on mobility may not be accurate.
It is recommended to visit the outpatient clinic for a physician's examination and to arrange relevant tests for an accurate assessment of the swelling in your foot.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.
Reply Date: 2021/06/08
More Info
When it comes to hard lumps above the ankle, especially those that have changed in size or sensitivity over time, it is essential to approach the situation with caution and seek medical attention. While it is understandable to have concerns about the possibility of a malignant tumor, it is important to consider various factors before jumping to conclusions.
Firstly, the characteristics of the lump you described—being hard, relatively immobile, and initially painless—can be associated with several benign conditions, such as a lipoma (a benign fatty tumor), a ganglion cyst, or even a fibroma. However, the fact that the lump has become more prominent and has started to cause discomfort is a significant change that warrants further investigation.
In general, any lump that changes in size, becomes painful, or exhibits other new symptoms should be evaluated by a healthcare professional. While many lumps are benign, the potential for malignancy cannot be ruled out without proper assessment. The notion that hard lumps are always malignant is a misconception; while some malignant tumors can be hard and immobile, many benign tumors can also present with similar characteristics.
Given your situation, here are some recommendations:
1. Seek Medical Attention: It is advisable to consult a healthcare provider, preferably a specialist such as an orthopedic surgeon or a dermatologist, who can perform a thorough examination. They may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump.
2. Monitor Symptoms: Keep track of any changes in the lump, including size, shape, and pain level. Note any other symptoms you may experience, such as swelling, redness, or changes in skin temperature over the area.
3. Consider the Context: If you have a history of trauma or injury to the area, this could provide additional context for the lump's development. Sometimes, lumps can form as a result of localized trauma or repetitive stress.
4. Discuss Concerns: When you do see a doctor, express your concerns about the possibility of malignancy. This will help guide the physician in determining the appropriate diagnostic steps.
5. Follow Up: If the lump is determined to be benign, ensure you have a follow-up plan in place to monitor it over time. If it is malignant or suspicious, early intervention can significantly improve outcomes.
In conclusion, while the lump you described may not necessarily be cancerous, the changes you have observed are concerning enough to warrant a medical evaluation. It is always better to err on the side of caution when it comes to changes in your body. The pandemic may make it challenging to seek in-person care, but many healthcare providers offer telehealth options that can facilitate initial consultations. Prioritize your health and seek the necessary medical advice to ensure peace of mind and appropriate management of your condition.
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