a Firm, Skin-Colored Bump on Your Temple - Dermatology

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Developing a mass or growth?


I have a skin-colored lump on my temple that is not painful or itchy, and I can grasp it with my fingers.
It has been there for over a year and is about two centimeters in size.
My parents say it is a clogged pore.
I have had similar issues in the past, but since it is somewhat hard yet not very hard, I wanted to ask about it as it is a bit unsightly.

Chen, 10~19 year old female. Ask Date: 2015/05/11

Dr. Wu Yuxin reply Dermatology


Based solely on your description, a diagnosis cannot be made; you must seek medical attention.

Reply Date: 2015/05/11

More Info


When it comes to a firm, skin-colored bump on your temple that has been present for over a year, it is important to consider a few potential diagnoses. Based on your description, the bump is painless, not itchy, and can be moved slightly under the skin. These characteristics suggest that it may not be an inflammatory lesion like acne or a cyst, but rather something more benign.

One common possibility is a sebaceous cyst, which is a non-cancerous bump beneath the skin that can occur when a hair follicle becomes blocked. These cysts are typically filled with a substance called keratin and can vary in size. They are generally harmless and may not require treatment unless they become infected or bothersome.

Another potential diagnosis could be a lipoma, which is a benign tumor made up of fatty tissue. Lipomas are usually soft, movable, and painless, and they can occur anywhere on the body, including the temples. They are typically slow-growing and do not pose any health risks.

A third possibility is a dermatofibroma, which is a benign growth that often appears as a firm, raised bump on the skin. These are usually brownish in color but can also be skin-colored. They are often harmless and do not require treatment unless they become bothersome or for cosmetic reasons.

Given that your bump has been present for over a year and has not changed significantly, it is less likely to be a serious condition. However, it is always best to consult with a healthcare professional, particularly a dermatologist, for an accurate diagnosis. They can perform a physical examination and may recommend a biopsy if there is any concern about the nature of the bump.

In terms of treatment, if the bump is determined to be a sebaceous cyst, lipoma, or dermatofibroma and is not causing any symptoms, you may choose to leave it alone. However, if it is bothersome or if you are concerned about its appearance, options include:
1. Observation: If the bump is not causing any issues, simply monitoring it may be sufficient.

2. Surgical removal: If you want to remove the bump for cosmetic reasons or if it becomes painful, a dermatologist can perform a minor surgical procedure to excise it.

3. Injection therapy: In some cases, corticosteroid injections can help reduce the size of certain types of bumps, although this is less common for sebaceous cysts or lipomas.

In conclusion, while the bump on your temple is likely benign, it is always wise to seek professional advice for peace of mind and to rule out any potential issues. A dermatologist can provide you with the best course of action based on a thorough examination.

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