Hard Lumps Near Left Ring Finger Joint: Orthopedic or Tumor Specialist? - Orthopedics

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There is a hard lump next to the joint of the left ring finger?


Dear Dr.
Tan: I have two connected hard lumps about 1.5 cm in size located on the inner side of the second joint of my left hand's ring finger.
They have been present for about a year and are not very painful or itchy.
They are not caused by an injury to the finger.
Should I see an orthopedic specialist or an oncologist?

A Zhi, 40~49 year old female. Ask Date: 2012/06/24

Dr. Tan Zhuowen reply Orthopedics


Please refer to orthopedics.

Reply Date: 2012/06/24

More Info


When it comes to hard lumps near the joints of the fingers, particularly in your case with the left ring finger, it is essential to approach the situation with careful consideration of the potential causes and the appropriate specialists to consult. Given that you have described the lumps as being approximately 1.5 cm in size, not painful or itchy, and present for about a year without any history of injury, there are a few possibilities to consider.

The first step is to determine the nature of these lumps. They could be benign growths such as ganglion cysts, which are fluid-filled sacs that often develop near joints or tendons. These cysts are typically harmless and may not require treatment unless they cause discomfort or functional issues. Another possibility is a lipoma, which is a benign tumor made of fat tissue. These are also generally painless and slow-growing.

On the other hand, while less common, there is a possibility that these lumps could be indicative of a more serious condition, such as a tumor or a growth related to the bone or cartilage. Therefore, it is crucial to have a proper evaluation to rule out any malignancy or other serious conditions.

Given your situation, it would be advisable to start with an orthopedic specialist. Orthopedic surgeons specialize in conditions related to the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. They can perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lumps. If the orthopedic evaluation suggests that the lumps are not of orthopedic origin or if there is any concern about their nature, they may refer you to an oncologist or a tumor specialist for further evaluation.

In summary, your best course of action would be to consult an orthopedic specialist first. They will be able to assess the lumps and determine if further investigation is necessary. If the lumps are found to be benign, they may suggest monitoring them or, if they become bothersome, discuss potential treatment options. If there is any suspicion of malignancy, they will guide you to the appropriate specialist for further evaluation and management.

In addition to seeking medical advice, it is also important to monitor the lumps for any changes in size, shape, or symptoms such as pain or discomfort. Keeping a record of any changes can be helpful for your healthcare provider in making an accurate diagnosis. Remember, early evaluation and intervention are key to addressing any potential issues effectively.

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