Soft Tissue Bumps on the Palm: Causes and Concerns - Surgery

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When it comes to soft tissue bumps on the palm, particularly in the area near the wrist, there are several potential causes that should be considered. Based on your description, the bump you are feeling is soft, movable, and painful upon pressure, which can indicate a few different conditions.

One common cause of such bumps is a ganglion cyst. These are non-cancerous lumps that often develop along the tendons or joints of the wrists and hands. They are filled with a jelly-like fluid and can vary in size. Ganglion cysts can be painful, especially if they press on nearby nerves, and they may feel soft and movable. They are generally harmless and may resolve on their own, but if they cause significant discomfort or interfere with daily activities, treatment options are available, including aspiration (draining the fluid) or surgical removal.

Another possibility is a lipoma, which is a benign tumor made up of fatty tissue. Lipomas are usually soft, movable, and painless, but they can sometimes become tender if they press against surrounding structures. While they are not cancerous, if you notice any changes in size or feel, it’s worth consulting a healthcare professional.

In some cases, the bump could be related to a tendon issue, such as tenosynovitis, which is inflammation of the sheath surrounding a tendon. This condition can cause swelling and pain in the affected area, particularly with movement or pressure.

Your concern about the possibility of bone cancer is understandable, especially when encountering a new lump. However, bone cancer typically presents with more severe symptoms, including persistent pain that worsens over time, swelling, and sometimes systemic symptoms like fever or weight loss. The fact that your bump is soft, movable, and only painful upon pressure makes it less likely to be a malignant condition, but it is essential to have any new or concerning lumps evaluated by a healthcare professional.

Given that the bump is causing you pain and concern, I recommend seeking medical advice. A healthcare provider can perform a physical examination and may suggest imaging studies, such as an ultrasound or MRI, to better understand the nature of the bump. They can also rule out any serious conditions and provide you with peace of mind.

In summary, while there are several benign explanations for the bump you are experiencing, it is crucial to have it evaluated by a medical professional to ensure proper diagnosis and management. Early intervention can help address any issues before they become more serious, and it can alleviate your concerns about potential malignancies.