Scalp Lumps: When to See a Neurologist

A growth on the scalp?

Hello, Doctor: About a month ago, I developed a lump inside my scalp (not on the surface).
It used to be painful when pressed, but now it isn't.
When I touch it, the lump can move side to side, but it eventually returns to its original position.
I would like to ask which specialty I should make an appointment with.
Should I see a neurologist? Thank you.

Louis, 20~29 year old female. Ask Date: 2021/11/21

Dr. Jiang Junyi reply Neurology

Dear Mr.
Louis,
You mentioned that there is a growth beneath the scalp (not on the surface), which was painful when pressed previously but is no longer painful and seems to return to its original position.
This may warrant consideration of a subcutaneous cyst or a lipoma.
Generally, benign lesions tend to grow slowly and are asymptomatic.
If the growth is rapid or accompanied by pain, it may indicate infection or a non-benign lesion.
At this point, a detailed medical history and physical examination by a physician are necessary for diagnosis.
For lesions on the scalp, you may seek assistance from the following three types of specialists: neurosurgery, plastic surgery, or dermatology.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2021/11/21

More Info

When it comes to understanding scalp lumps, it’s essential to approach the situation with a clear understanding of the potential causes and the appropriate medical specialists to consult. Based on your description of a movable lump beneath the scalp that was initially painful but has since become painless, there are several considerations to keep in mind.

Firstly, lumps on the scalp can arise from various conditions, including cysts, lipomas (benign fatty tumors), or even swollen lymph nodes. The fact that the lump is movable is a good sign, as it often indicates that it is not fixed to the underlying bone or tissues, which can be a concern for more serious conditions. However, the initial pain you experienced could suggest inflammation or irritation, which may have resolved over time.

Given that the lump is located beneath the scalp and has changed in characteristics, it is advisable to consult a healthcare professional. While a neurologist specializes in disorders of the nervous system, including the brain, spinal cord, and nerves, your situation may be more appropriately addressed by a dermatologist or a general practitioner initially. A dermatologist specializes in skin and scalp conditions and can provide a thorough examination of the lump. They may perform a physical examination and, if necessary, order imaging studies or a biopsy to determine the nature of the lump.

If the dermatologist finds that the lump is related to a neurological issue, they may refer you to a neurologist for further evaluation. Neurologists can assess any potential nerve involvement or other neurological symptoms that may arise from the lump. However, if there are no neurological symptoms such as numbness, tingling, or weakness, starting with a dermatologist is likely the best course of action.

In summary, while it’s understandable to be concerned about any new lump on your body, especially on the scalp, the best approach is to consult a dermatologist first. They can provide a proper diagnosis and treatment plan. If further neurological evaluation is needed, they will guide you to the appropriate specialist. Remember, early evaluation and diagnosis are key to addressing any health concerns effectively.

Additionally, if you notice any changes in the lump, such as rapid growth, changes in color, or if it becomes painful again, it’s crucial to seek medical attention promptly. Keeping track of any other symptoms you may experience, such as headaches, dizziness, or changes in vision, can also be helpful information for your healthcare provider.

In conclusion, while it’s natural to feel anxious about new health concerns, seeking the right medical advice can help alleviate your worries and ensure that you receive appropriate care.

Similar Q&A

Understanding Scalp Lumps: When to Seek Medical Attention

Hello Doctor: I have a small lump on the top of my head (approximately 4.5 cm in diameter). The location of the lump had a history of circular hair loss about five years ago. When I initially saw a dermatologist, there was a slight swelling, but I didn't pay much attention t...

Dr. Zhang Junwei reply Neurosurgery
You can continue to observe it, and if it becomes more pronounced, schedule an appointment with the neurosurgery clinic.

Scalp Bump: When to See a Dermatologist or Surgeon?

A few years ago, I noticed a small hard lump on the back of my head. I went to the hospital for an MRI, but nothing was found, and since it wasn't painful or bothersome, I left it alone. A few days ago, after getting a haircut, it seems to have become inflamed. It itches and...

Dr. Wu Yuxin reply Dermatology
First, see a dermatologist.

Understanding Scalp Lumps: When to Worry About Skin Conditions

Hello Dr. Wu, I have been dealing with seborrheic dermatitis on my scalp for a long time, and my scalp often feels oily. About a year ago, I discovered a hard lump on my scalp that is quite firm and does not move. I consulted a nearby dermatology clinic, and after a brief examin...

Dr. Wu Yuxin reply Dermatology
If you have concerns, it's advisable to conduct an evaluation first before deciding whether to proceed with a biopsy.

Understanding Occipital Swelling: When to See a Specialist

Two weeks ago, while washing my hair, I noticed a lump about 10 cm behind my left ear, thinking it was a bump from hitting it. However, there has been no sign of it going down since then. If I want to see a doctor, which specialty should I consult?

Dr. Chen Sirong reply Oncology
Vicky / 32 / Please schedule an appointment with the general surgery department. Thank you, Chen Si-Rong.