A lump under the skin?
Hello, doctor...
Today I felt a smooth, movable lump about 0.2 centimeters in size under the skin near my calf.
What could this be? Do I need to see a doctor? Which specialty should I consult? Or should I just observe it and seek medical attention if it continues to grow? Thank you.
Niming, 40~49 year old female. Ask Date: 2022/03/12
Dr. Xiao Yongxun reply Family Medicine
Dear Anonymous,
1.
There are many factors to consider; common causes include fibromas, lipomas, neurofibromas, schwannomas, angiolipomas, microangiomas, aneurysms, varices, chronic inflammation, and so on; of course, there are also other rare causes.
2.
Please discuss this with your family physician or directly visit a general surgery outpatient clinic at a regional hospital.
Reply Date: 2022/03/12
More Info
When it comes to movable lumps under the skin, such as the one you've described near your calf, it's essential to approach the situation with a careful mindset. A lump that is approximately 0.2 cm in size, smooth, and movable can be indicative of several benign conditions, but it can also warrant further investigation depending on various factors.
Possible Causes of Movable Lumps
1. Lipoma: This is a benign tumor made of fat tissue. Lipomas are typically soft, movable, and painless. They are common and usually do not require treatment unless they cause discomfort or cosmetic concerns.
2. Cyst: Sebaceous cysts or epidermoid cysts can also present as movable lumps. These are usually filled with keratin and can be soft to the touch. They may become inflamed or infected, leading to pain or discomfort.
3. Lymph Node: Sometimes, lymph nodes can become palpable and movable, especially if there is an underlying infection or inflammation in the area. They are usually tender if they are reactive to an infection.
4. Fibroma: These are benign tumors made of fibrous or connective tissue. They can also be movable and are generally harmless.
5. Other Causes: There are other possibilities, including vascular malformations or even more serious conditions like tumors. However, these are less common.
When to Seek Medical Advice
While many movable lumps are benign, there are certain signs that should prompt you to seek medical advice:
- Size Change: If the lump increases in size or changes in shape, it is advisable to consult a healthcare provider.
- Pain or Discomfort: If the lump becomes painful or tender, this could indicate an underlying issue that needs evaluation.
- Associated Symptoms: If you experience other symptoms such as fever, weight loss, or changes in skin color around the lump, you should seek medical attention.
- Duration: If the lump persists for several weeks without improvement, it’s wise to have it checked.
Which Specialist to See
For a lump under the skin, you would typically start with a visit to a primary care physician. They can perform an initial evaluation and determine if further testing is necessary. Depending on their findings, they may refer you to a dermatologist for skin-related issues or a surgeon if there is a need for removal or further investigation.
Observation vs. Immediate Action
If the lump is not causing any discomfort and has not changed in size or characteristics, you may choose to observe it for a short period. However, it’s essential to remain vigilant and seek medical advice if any concerning symptoms arise.
Conclusion
In summary, while a movable lump under the skin can often be benign, it is crucial to monitor it for any changes. If you have any doubts or if the lump exhibits any concerning features, do not hesitate to consult a healthcare professional. Early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly.
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