Scalp Growths: What You Need to Know - Dermatology

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Scalp lesions


Hello, Doctor.
A few days ago, I suddenly noticed a very small growth on my scalp.
It is soft and elongated in shape, and I don't feel much discomfort.
I understand that this inquiry may not be complete, and I will make an appointment to see you as soon as possible, but I would like to ask what this could possibly be.
I'm also concerned about potentially injuring it while getting a haircut, so I would like to know if it needs to be removed.

JEFF, 30~39 year old female. Ask Date: 2022/09/04

Dr. Wu Yuxin reply Dermatology


It is not possible to determine the issue from the description alone; it is recommended to consult a dermatologist for an in-person diagnosis.

Reply Date: 2022/09/04

More Info


When it comes to scalp growths, there are several potential causes for the small, soft, elongated bump you have noticed. While it is essential to consult a healthcare professional for an accurate diagnosis, I can provide some general information about common scalp growths and what you might consider regarding their management.


Common Types of Scalp Growths
1. Seborrheic Keratosis: These are non-cancerous growths that can appear as small, soft bumps on the scalp. They are usually brown or black and have a waxy, scaly appearance. They are benign and typically do not require treatment unless they become bothersome.

2. Dermatofibroma: This is a firm, raised growth that can occur on the scalp and other areas of the body. They are usually harmless and may not require removal unless they are painful or irritating.

3. Lipoma: A lipoma is a soft, fatty lump that grows under the skin. They are generally painless and benign. If the lipoma is small and not causing any discomfort, it may not need to be removed.

4. Follicular Cyst: These cysts can develop from hair follicles and may feel soft and movable. They can sometimes become inflamed or infected, leading to discomfort.

5. Warts: Caused by the human papillomavirus (HPV), warts can appear on the scalp as small, rough bumps. They are typically harmless but can be removed if they are bothersome.

6. Skin Cancer: While less common, it is essential to be aware that some growths can be malignant. Basal cell carcinoma, squamous cell carcinoma, and melanoma can appear on the scalp. Characteristics of concern include changes in size, shape, color, or if the growth bleeds or itches.


When to Seek Medical Attention
Given that you have noticed a new growth on your scalp, it is wise to schedule an appointment with a dermatologist. They can perform a thorough examination and, if necessary, a biopsy to determine the nature of the growth. Here are some signs that warrant immediate medical evaluation:
- Rapid growth of the bump
- Changes in color or texture
- Bleeding or oozing
- Pain or discomfort
- Any other unusual symptoms

Management Options
If the growth is determined to be benign and not causing any issues, your doctor may recommend simply monitoring it. However, if it is bothersome or if there is any suspicion of malignancy, removal may be suggested. Removal can often be done in an outpatient setting, and the procedure is typically straightforward.


Conclusion
In summary, while the small, soft, elongated growth on your scalp may be benign, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions. Until your appointment, try to avoid irritating the area, especially during haircuts. If you have any concerns about the growth or if it changes in any way, do not hesitate to seek medical advice sooner. Your health and peace of mind are paramount, and a dermatologist will provide the best guidance tailored to your specific situation.

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