There is a small hard lump about five centimeters from the elbow towards the wrist?
Hello Doctor: About a month ago, I noticed an unexplained hard lump approximately five centimeters from my elbow towards my wrist.
Initially, the lump grew larger and the surrounding area became red and swollen, causing pain when accidentally touched.
However, it has gradually reduced in size to an oval-shaped hard lump measuring about 1.5 x 1 cm.
Currently, it does not hurt when touched, but there is still pain when pressure is applied, and the lump remains fixed and does not move.
The color has a slight reddish-blackish-purple tint, and I am unsure if it will continue to grow in the future.
I kindly ask for your assessment of my symptoms so that I can make an informed decision and seek timely treatment.
Thank you, Doctor.
Shen Xiaojie, 10~19 year old female. Ask Date: 2022/07/22
Dr. Chen Bingze reply Surgery
Hello, it is advisable to have a physician examine you in person, as you may need to undergo a minor surgery to remove the mass for testing.
Reply Date: 2022/07/22
More Info
Based on your description of the hard lump near your elbow, it is important to consider several potential causes and treatment options. The lump's characteristics—its size, shape, color, and the presence of pain—can provide clues about its nature.
Possible Causes
1. Lipoma: This is a benign tumor made of fatty tissue. Lipomas are usually soft, movable, and painless, but they can sometimes become painful if they press on nearby nerves or tissues.
2. Cyst: A ganglion cyst, for example, can develop near joints or tendons and may feel firm. These cysts are typically benign and can fluctuate in size.
3. Fibroma: This is a benign tumor made of fibrous or connective tissue. Fibromas can be painful and may feel hard to the touch.
4. Infection or Abscess: If the lump is red and swollen, it could indicate an infection. An abscess is a collection of pus that can form due to infection and may require drainage.
5. Bursitis: Inflammation of the bursa (a small fluid-filled sac that reduces friction between tissues) can cause swelling and pain near joints.
6. Malignant Tumors: While less common, it is important to rule out the possibility of a malignant tumor, especially if the lump is hard, fixed, and painful.
Symptoms to Monitor
- Size Changes: Keep track of any changes in the size of the lump. If it continues to grow, this could indicate a more serious issue.
- Pain: Note any changes in pain levels, especially if it becomes more severe or persistent.
- Color Changes: Changes in color, such as increased redness or bruising, may suggest inflammation or infection.
- Mobility: If the lump becomes fixed and does not move under the skin, this could be a sign of a more serious condition.
Recommended Actions
1. Consult a Healthcare Professional: Given the symptoms you've described, it is crucial to consult a healthcare provider for a thorough evaluation. They may perform a physical examination and recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump.
2. Biopsy: If there is any suspicion of malignancy or if the lump does not resolve, a biopsy may be necessary to determine the exact nature of the tissue.
3. Monitor Symptoms: Keep a close watch on any changes in the lump or surrounding area. Documenting these changes can be helpful for your healthcare provider.
4. Avoid Manipulation: Try not to press or manipulate the lump, as this could exacerbate any underlying condition or cause further irritation.
5. Pain Management: Over-the-counter pain relief, such as ibuprofen or acetaminophen, may help manage discomfort until you can see a doctor.
Conclusion
While many lumps can be benign and self-limiting, it is essential to take any new or changing lumps seriously, especially if they are painful or associated with other symptoms. Early evaluation and intervention can lead to better outcomes, so seeking medical advice promptly is recommended.
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