Causes and Concerns of a Painful Scalp Lump: What You Need to Know - Surgery

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When it comes to a painful lump on the scalp, there are several potential causes that one should consider. Given the description of the lump being approximately 1.5 cm in size, round, and associated with hair loss in the area, it is essential to approach this situation with a comprehensive understanding of possible underlying conditions.

1. Sebaceous Cyst: One of the most common causes of a lump on the scalp is a sebaceous cyst. These are benign growths that occur when a sebaceous gland becomes blocked. They can be tender to the touch and may cause localized hair loss. While they are generally harmless, they can become infected, leading to increased pain and swelling.

2. Folliculitis: This condition involves inflammation of the hair follicles, often due to bacterial or fungal infections. Folliculitis can present as red, painful bumps on the scalp and may be accompanied by hair loss in the affected area. It is usually treated with topical or oral antibiotics, depending on the severity.

3. Lipoma: A lipoma is a benign tumor made of fat tissue. These lumps are typically soft, movable, and painless, but they can sometimes become tender if they press on nearby nerves or tissues. While lipomas are generally harmless, they may require removal if they cause discomfort or cosmetic concerns.

4. Dermatofibroma: This is a benign skin growth that can appear on the scalp. It is usually firm and can be tender. Dermatofibromas are often brownish in color and may be mistaken for other types of growths. They are typically harmless but can be surgically removed if desired.

5. Scalp Psoriasis: This chronic autoimmune condition can lead to raised, red patches covered with silvery scales on the scalp. It can cause itching and discomfort, and hair loss may occur in areas affected by severe inflammation.

6. Infection or Abscess: An infection in the scalp, such as a boil or abscess, can cause a painful lump. These infections may arise from ingrown hairs, trauma, or other skin conditions. They often require drainage and antibiotics for treatment.

7. Tumors: While less common, both benign and malignant tumors can occur on the scalp. If the lump is hard, growing rapidly, or associated with other concerning symptoms (such as weight loss or systemic illness), it is crucial to seek medical evaluation promptly.

Given your symptoms, it is advisable to consult a healthcare professional for a thorough examination. They may perform a physical examination and, if necessary, imaging studies or a biopsy to determine the exact nature of the lump.
In the meantime, avoid manipulating the lump, as this could lead to further irritation or infection. If you experience any additional symptoms such as fever, increased pain, or changes in the lump's appearance, seek medical attention immediately.

In summary, while there are various potential causes for a painful lump on the scalp, many of them are benign and treatable. Early evaluation and diagnosis are key to managing the condition effectively and alleviating any associated discomfort.