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Painful hard lump under skin. Painful Hard Lumps Under Skin: 8 Common Causes and Effective Treatments

What are the most common causes of painful hard lumps under the skin. How are these lumps typically treated. When should you seek medical attention for a lump under your skin. What are the key characteristics of different types of skin lumps.

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Understanding Epidermoid Cysts: Causes, Symptoms, and Treatment

Epidermoid cysts are a common cause of hard lumps under the skin. These small, round growths develop when skin cells become trapped beneath the surface instead of shedding normally. Damage to hair follicles or a buildup of keratin protein can also lead to their formation.

Key characteristics of epidermoid cysts include:

  • Slow growth
  • Persistence for years
  • Possible small blackhead at the center
  • Potential for leaking yellow, foul-smelling discharge
  • Usually painless, but may become red and tender if infected

Epidermoid cysts are twice as common in men and typically don’t appear before puberty. They can occur anywhere on the body but are most frequently found on the face, neck, and torso.

Treatment Options for Epidermoid Cysts

How are epidermoid cysts treated. In many cases, these cysts don’t require treatment unless they become infected or bothersome. Treatment options may include:

  1. Incision and drainage: A small cut is made to drain the cyst contents
  2. Surgical excision: Complete removal of the cyst and its sac
  3. Antibiotics: Prescribed if the cyst becomes infected
  4. Intralesional corticosteroid injections: To reduce inflammation

Lipomas: Benign Fatty Growths Under the Skin

Lipomas are another common cause of hard lumps under the skin. These benign growths develop when fatty tissue accumulates beneath the skin’s surface, creating a noticeable bulge. While the exact cause of lipomas remains unclear, physical trauma may play a role in their formation.

Distinctive features of lipomas include:

  • Most common in adults aged 40 to 60
  • Generally painless
  • Slow growth
  • Rubbery texture
  • Mobility when touched

Lipomas can appear anywhere on the body but are most frequently found on the shoulders, neck, torso, and armpits.

Managing and Treating Lipomas

How should lipomas be managed or treated. In most cases, lipomas don’t require treatment unless they cause discomfort or cosmetic concerns. Treatment options may include:

  1. Surgical excision: Complete removal of the lipoma
  2. Liposuction: Removal of the fatty tissue through a small incision
  3. Steroid injections: To reduce the size of the lipoma
  4. Observation: Monitoring for changes in size or appearance

Dermatofibromas: Small, Hard Bumps with Distinctive Characteristics

Dermatofibromas are small, hard bumps that grow under the skin. While harmless, they may occasionally cause itching or discomfort. The exact cause of dermatofibromas is unknown, but some individuals report a history of minor trauma, such as splinters or insect bites, at the site of development.

Key features of dermatofibromas include:

  • Color ranging from dark pink to brown or black, depending on skin tone
  • Firm, rubbery feel
  • Higher prevalence in women
  • Typically no larger than 1 cm across
  • Slow growth

Dermatofibromas can develop anywhere on the body but are most commonly found on the lower legs and upper arms.

Treatment Approaches for Dermatofibromas

How are dermatofibromas typically treated. In many cases, these growths don’t require treatment. However, if they cause discomfort or cosmetic concerns, options may include:

  1. Surgical excision: Complete removal of the dermatofibroma
  2. Cryosurgery: Freezing the growth to destroy the tissue
  3. Laser therapy: Using focused light to remove the growth
  4. Corticosteroid injections: To reduce inflammation and size

Keratoacanthomas: Rapidly Growing Skin Tumors

Keratoacanthomas (KAs) are small skin tumors that grow out of skin cells. Sun exposure may contribute to their development, as they are more common in areas with high sun exposure, such as the hands and face.

Distinctive characteristics of keratoacanthomas include:

  • Initial appearance similar to a pimple
  • Rapid growth over several weeks
  • Potential for the center to burst, creating a crater-like appearance
  • Possible itching or pain
  • Growth up to 3 cm in just a few weeks
  • A core of keratin that may resemble a plug

Treatment Strategies for Keratoacanthomas

How are keratoacanthomas treated. Due to their rapid growth and potential for malignancy, KAs often require prompt treatment. Options may include:

  1. Surgical excision: Complete removal of the tumor
  2. Mohs micrographic surgery: Precise removal of cancerous tissue
  3. Radiation therapy: For cases where surgery is not feasible
  4. Topical or intralesional chemotherapy: To destroy tumor cells

Swollen Lymph Nodes: A Common Cause of Hard Lumps

Swollen lymph nodes are a frequent cause of hard lumps under the skin. These small, bean-shaped structures are part of the body’s immune system and can become enlarged when fighting infections or other health conditions.

Key features of swollen lymph nodes include:

  • Tenderness or pain when touched
  • Rapid onset of swelling
  • Potential for warmth in the affected area
  • Size ranging from pea-sized to grape-sized
  • Common locations include the neck, armpits, and groin

Managing and Treating Swollen Lymph Nodes

How should swollen lymph nodes be managed. Treatment depends on the underlying cause and may include:

  1. Treating the underlying infection or condition
  2. Applying warm compresses to relieve discomfort
  3. Over-the-counter pain relievers for pain and inflammation
  4. Monitoring for changes in size or appearance
  5. Seeking medical attention if swelling persists or is accompanied by other symptoms

Boils and Carbuncles: Painful Skin Infections

Boils and carbuncles are painful skin infections that can cause hard lumps under the skin. They occur when bacteria, typically Staphylococcus aureus, infect hair follicles or oil glands.

Distinguishing features of boils and carbuncles include:

  • Rapid development of a red, swollen bump
  • Increasing pain as the bump fills with pus
  • Potential for multiple boils to form a carbuncle
  • Warm and tender to the touch
  • May eventually rupture and drain

Treating Boils and Carbuncles

How are boils and carbuncles treated. Treatment options may include:

  1. Applying warm compresses to promote drainage
  2. Keeping the area clean and covered
  3. Avoiding squeezing or popping the boil
  4. Antibiotics for severe or recurring infections
  5. Incision and drainage for large or persistent boils

Skin Cancer: When Hard Lumps May Indicate Malignancy

While many hard lumps under the skin are benign, some may be indicative of skin cancer. Different types of skin cancer can present as hard lumps, including basal cell carcinoma, squamous cell carcinoma, and melanoma.

Potential signs of skin cancer include:

  • Changes in the size, shape, or color of a mole or skin growth
  • Asymmetry or irregular borders
  • A growth that doesn’t heal or continues to bleed
  • Itching, pain, or tenderness in a skin lesion
  • New growths or changes in existing moles

Diagnosis and Treatment of Skin Cancer

How is skin cancer diagnosed and treated. The process typically involves:

  1. Visual examination by a dermatologist
  2. Biopsy of suspicious growths
  3. Imaging studies to determine the extent of the cancer
  4. Treatment options may include surgical excision, Mohs surgery, radiation therapy, or immunotherapy, depending on the type and stage of cancer

When to Seek Medical Attention for Hard Lumps Under the Skin

While many hard lumps under the skin are harmless, certain situations warrant medical evaluation. When should you consult a healthcare provider for a hard lump under your skin.

  • The lump is growing rapidly or changing in appearance
  • You experience persistent pain or tenderness
  • The lump is accompanied by other symptoms such as fever or unexplained weight loss
  • You have a history of cancer or are at high risk for skin cancer
  • The lump doesn’t resolve on its own within a few weeks

A healthcare provider can perform a thorough examination, order necessary tests, and provide an accurate diagnosis and appropriate treatment plan.

Diagnostic Procedures for Hard Lumps Under the Skin

What diagnostic procedures might a healthcare provider use to evaluate a hard lump under the skin. Common approaches include:

  1. Physical examination and medical history review
  2. Ultrasound imaging to visualize the lump’s structure
  3. Fine needle aspiration or core needle biopsy to obtain a tissue sample
  4. Blood tests to check for signs of infection or other underlying conditions
  5. Dermatoscopy for detailed examination of skin lesions

These diagnostic tools help healthcare providers determine the nature of the lump and develop an appropriate treatment plan.

Preventing Hard Lumps Under the Skin: Lifestyle and Skincare Tips

While not all hard lumps under the skin are preventable, certain lifestyle choices and skincare practices can help reduce your risk. How can you minimize the likelihood of developing hard lumps under your skin.

  • Practice good hygiene to prevent skin infections
  • Protect your skin from sun damage by using sunscreen and protective clothing
  • Maintain a healthy diet and exercise regularly to support overall skin health
  • Avoid picking or squeezing existing skin blemishes
  • Manage underlying health conditions that may contribute to skin issues

Natural Remedies for Managing Minor Skin Lumps

Are there any natural remedies that can help manage minor skin lumps. While it’s important to consult a healthcare provider for proper diagnosis and treatment, some people find relief with the following approaches:

  1. Applying tea tree oil for its antimicrobial properties
  2. Using aloe vera gel to soothe irritated skin
  3. Trying warm compresses to promote drainage and reduce inflammation
  4. Incorporating omega-3 fatty acids in the diet to support skin health
  5. Practicing stress-reduction techniques, as stress can exacerbate some skin conditions

Remember that these remedies are not substitutes for professional medical advice and should be used cautiously, especially if you have sensitive skin or allergies.

Understanding the Psychological Impact of Visible Skin Lumps

Hard lumps under the skin, particularly when visible, can have a significant psychological impact on individuals. How do visible skin lumps affect a person’s mental well-being and quality of life.

  • Decreased self-esteem and body image issues
  • Social anxiety and avoidance of social situations
  • Depression or mood changes
  • Stress related to concerns about the lump’s nature or potential for malignancy
  • Impact on personal and professional relationships

Coping Strategies and Support for Individuals with Visible Skin Lumps

What coping strategies and support options are available for individuals dealing with the psychological impact of visible skin lumps.

  1. Seeking support from mental health professionals or support groups
  2. Practicing self-care and stress-reduction techniques
  3. Educating oneself about the condition to alleviate fears and misconceptions
  4. Exploring cosmetic options to camouflage visible lumps when appropriate
  5. Communicating openly with friends, family, and healthcare providers about concerns and feelings

By addressing both the physical and emotional aspects of hard lumps under the skin, individuals can better manage their overall well-being and quality of life.

Emerging Research and Future Treatments for Skin Lumps

The field of dermatology is constantly evolving, with ongoing research into new treatments and technologies for managing hard lumps under the skin. What are some promising areas of research in this field.

  • Gene therapy for inherited skin conditions
  • Immunotherapy approaches for skin cancers
  • Advanced imaging techniques for early detection of malignant skin growths
  • Nanotechnology-based drug delivery systems for targeted treatment
  • Regenerative medicine approaches for skin healing and reconstruction

The Role of Artificial Intelligence in Diagnosing Skin Conditions

How is artificial intelligence (AI) being utilized in the diagnosis and management of skin conditions, including hard lumps under the skin.

  1. AI-powered image analysis for early detection of skin cancer
  2. Machine learning algorithms to assist in differential diagnosis of skin lesions
  3. Telemedicine platforms incorporating AI for remote skin assessments
  4. Predictive models for treatment outcomes and disease progression
  5. AI-driven personalized treatment recommendations based on patient data and clinical guidelines

As research progresses and new technologies emerge, the diagnosis, treatment, and management of hard lumps under the skin are likely to become more precise, effective, and personalized.

8 Causes and How They’re Treated

Hard Lump Under Skin: 8 Causes and How They’re Treated

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Medically reviewed by Alana Biggers, M. D., MPH — By Crystal Raypole — Updated on May 31, 2023

Lumps can form under the skin for many reasons, including cysts or swollen lymph nodes. You may want to contact a doctor for an exam if lumps change in size or appearance.


Lumps, bumps, or growths under your skin aren’t uncommon. A lump can form under your skin for many reasons.

Often, lumps are harmless (benign). Specific traits of the lump can sometimes tell you more about possible causes and whether you should contact a medical professional.

Read on to learn more about common causes of hard lumps under your skin and when it’s a good idea to have a lump checked out.

Language matters

You’ll notice that the language used to share stats and other data points is pretty binary, fluctuating between the use of “men” and “women.”

Although we typically avoid language like this, specificity is key when reporting on research participants and clinical findings.

Unfortunately, the studies and specialists referenced in this article didn’t report data on, or include, participants who were transgender, nonbinary, gender nonconforming, genderqueer, agender, or genderless.

Was this helpful?

Epidermoid cysts are small, round lumps under your skin. They usually develop when skin cells shed and move into your skin instead of falling off. Epidermoid cysts can also be due to hair follicle damage or a buildup of a protein called “keratin.”

Epidermoid cysts:

  • grow slowly
  • may not go away for years
  • may have a small blackhead in the center of the bump
  • can leak yellow, foul-smelling discharge (keratin)
  • are usually painless but can become red and tender if infected

According to research, these cysts are also twice as common in men and typically don’t develop before puberty.

You can find these cysts anywhere on your body, but you’ll most often see them on your face, neck, or torso.

Learn more about epidermoid cysts.

Lipomas develop when fatty tissue grows under your skin, forming a bulge. These lumps are common and usually harmless. The exact cause of lipomas is unclear, but they may result from physical traumas.

Multiple lipomas can also sometimes be a symptom of an underlying genetic condition such as Gardner’s syndrome.

Lipomas:

  • are most common in adults 40 to 60 years of age
  • are rarely painful
  • grow slowly
  • feel rubbery
  • may seem to move when you touch them

They can appear on any part of your body but most often appear on your shoulders, neck, torso, or armpits.

Learn more about the symptoms and causes of lipomas.

A dermatofibroma is a small, hard bump that grows under your skin. This skin lump is harmless, but it might sometimes itch or hurt.

Although it’s not clear what causes dermatofibromas, some people report having had splinters, insect bites, or other minor trauma at the spot where the lumps develop.

Dermatofibromas:

  • range from dark pink to brown or black, depending on a person’s skin tone
  • have a firm, rubbery feeling
  • according to research, are more common in women
  • tend to be no bigger than 1 centimeter (cm) across
  • grow slowly

You can develop dermatofibromas anywhere, but they often appear on your lower legs and upper arms.

Discover more about dermatofibromas.

Keratoacanthoma (KA) is a small skin tumor that grows out of your skin cells. Sun exposure may play a part in KA development, as it’s more common in high-exposure areas such as your hands or face.

KA may look like a pimple at first but will grow larger over several weeks. The center of the lump can burst, leaving what looks like a crater.

These lumps:

  • may itch or feel painful
  • can grow up to 3 cm in just a few weeks
  • have a core of keratin that may look like a horn or scale in the center of the bump
  • are more common people with light skin and older adults

Learn more about keratoacanthomas (KAs).

A skin abscess is a round, pus-filled lump that develops when bacteria gets underneath your skin’s surface.

Bacterial infections are the most common cause of skin abscesses. Your body reacts to the bacteria by sending white blood cells to the infection site. As tissue around the area dies, a hole forms and pus fills the hole, which causes an abscess.

Abscesses:

  • have a firm membrane surrounding them
  • feel squishy due to pus
  • may be painful
  • may be surrounded by inflamed skin
  • may feel warm to the touch
  • may leak pus from a central pinprick-sized opening

Skin abscesses can develop anywhere on your body.

Learn more about their causes and treatments.

Lymph nodes or lymph glands are small groups of cells located in various parts of the body. The lymph nodes respond to infections by trapping infectious or damaged cells and helping to get rid of them.

As part of the body’s immune response, lymph nodes produce lymphocytes that can cause swelling in the nodes.

Some common reasons lymph nodes may swell include:

  • bacterial infections such as mono or strep throat
  • viral infections including the common cold
  • tooth abscesses
  • cellulitis or other skin infections
  • immune system disorders

You may notice swelling at one or more sites including:

  • under your chin
  • in your groin
  • on either side of your neck
  • in your armpits

Learn more about the causes and symptoms of swollen lymph nodes.

A hernia is a lump that develops when part of your body, such as one of your organs, pushes through the surrounding tissue.

There are several types of hernias. They typically appear in the abdominal area (inguinal hernia), below your chest, or above your hips.

Symptoms of a hernia include:

  • a bulge you can push in
  • pain when you strain the area by coughing, laughing, or lifting something heavy
  • a burning sensation
  • a dull ache
  • the sensation of fullness or heaviness at the hernia site

Discover everything there is to know about hernias.

A ganglion cyst is a small, round, fluid-filled lump that grows under the skin’s surface, usually on your hands. The cyst sits on a small stalk that may seem movable.

It’s not clear what causes ganglion cysts: They’re typically harmless, but irritation to your joints and tendons may play a part.

Ganglion cysts:

  • are often painless but may cause tingling, numbness, or pain if they press on a nerve
  • can grow slowly or quickly
  • appear most often in people between 15 to 40 years of age
  • according to specialists, appear most often in women
  • are usually smaller than 2. 5 cm across

These cysts most often develop on wrist joints and tendons, but they can also develop on your palm or fingers.

Learn more about ganglion cysts.

Click through the gallery below to see pictures of the conditions mentioned in this article.

Lumps under the skin are very common and can have a range of causes. In many cases, lumps go away without treatment.

It’s not always possible to tell exactly what causes a lump. If you notice a lump under your skin, keep an eye on it. In general soft, movable lumps are harmless and will likely improve with time.

It’s a good idea to see a healthcare professional if you notice:

  • skin discoloration, swelling, or pain
  • pus or other fluid leaking from the lump
  • tenderness or swelling in the surrounding area
  • changes in color, shape, and size, especially with rapid or steady growth
  • a high fever
  • a lump that’s more than 1 cm across
  • hard or painless lumps that appear suddenly

Last medically reviewed on May 31, 2023

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Diseases and conditions: Ganglion cyst of the wrist and hand. (2022).
    orthoinfo.aaos.org/en/diseases–conditions/ganglion-cyst-of-the-wrist-and-hand/
  • Diseases and conditions: Lipoma. (2018).
    orthoinfo.aaos.org/en/diseases–conditions/lipoma
  • Ganglion cyst. (2021).
    nhs.uk/conditions/ganglion/
  • Hernia. (2022).
    nhs.uk/conditions/hernia/
  • Inguinal hernia. (2019).
    niddk.nih.gov/health-information/digestive-diseases/inguinal-hernia
  • Keratoacanthoma. (n.d.).
    aocd.org/page/Keratoacanthoma
  • Lymph nodes and cancer. (2021). 
    cancer.org/cancer/diagnosis-staging/lymph-nodes-and-cancer.html
  • Myers, DJ, et al. (2022). Dermatofibroma. 
    ncbi.nlm.nih.gov/books/NBK470538/
  • Overview: Abscess. (2019). 
    nhs.uk/conditions/abscess/
  • The lymphatic system. (2021).
    lymphoma-action.org.uk/about-lymphoma-what-lymphoma/lymphatic-system
  • Zito PM, et al. (2023). Epidermoid cyst. 
    ncbi.nlm.nih.gov/books/NBK499974/
  • Zito PM, et al. (2023). Keratoacanthoma. 
    ncbi.nlm.nih.gov/books/NBK499931/

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

May 31, 2023

Written By

Crystal Raypole

Edited By

Tom Rush

Medically Reviewed By

Alana Biggers, MD, MPH

Copy Edited By

Maggie Hellwig

Mar 27, 2019

Written By

Crystal Raypole

Edited By

Kelly Morrell

Medically Reviewed By

Cynthia Cobb, DNP, APRN

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Medically reviewed by Alana Biggers, M.D., MPH — By Crystal Raypole — Updated on May 31, 2023

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Potential Causes and Treatment Options

Skin Lumps: Potential Causes and Treatment Options

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Medically reviewed by Cynthia Cobb, DNP, APRN, WHNP-BC, FAANP — By Erica Roth — Updated on May 11, 2023

Skin lumps are generally not considered dangerous. If you notice changes in the color or size of the lump, you may want to have a dermatologist check for cancer.

What are skin lumps?

Skin lumps are any areas of abnormally raised skin. The lumps may be hard and rigid, or soft and moveable. Swelling from injury is one common form of skin lump.

Most skin lumps are benign, meaning they’re not cancerous. Skin lumps are generally not dangerous, and usually don’t interfere with your everyday life. Talk to your healthcare provider or dermatologist if you’re worried about any abnormal growths on your skin.

Skin lumps can be caused by a number of health conditions that range in severity. Common types and causes of skin lumps include:

  • trauma
  • acne
  • moles
  • warts
  • pockets of infection, such as abscesses and boils
  • cancerous growths
  • cysts
  • corns
  • allergic reactions, including hives
  • swollen lymph nodes
  • childhood illnesses, like chicken pox

Trauma

The most common cause of skin lumps is trauma or injury. This type of lump is sometimes called a goose egg. It occurs when you hit your head or another part of your body. Your skin will begin to swell, causing a lump that may also be bruised.

Skin lumps caused by injury usually swell suddenly, within a day or two of the traumatic event.

Cysts

A cyst is another typical cause of skin lumps. A cyst is an enclosed area of skin tissue that forms underneath the outermost layer of skin. Cysts are usually filled with fluid.

The contents of a cyst may remain under the skin or rupture out of the cyst. Cysts are most often soft and moveable, unlike hard warts or corns. Most cysts aren’t cancerous. Cysts are usually painless, unless they become infected.

Swollen lymph nodes

You may also encounter skin lumps where your lymph glands are located. Lymph glands contain white blood cells that help fight infection. The glands under your arms and in your neck may temporarily become hard and lumpy if you have a cold or infection. Your lymph nodes will return to normal size as your illness runs its course. Should they remain swollen or enlarged you should consult your healthcare provider.

Childhood illness

Childhood illnesses, such as mumps and chicken pox, can also give your skin a lumpy appearance. Mumps is a viral infection that affects your salivary glands. Your swollen glands can give your cheeks a chipmunk-like appearance.

The herpes zoster virus causes chicken pox. During a bout of the chicken pox, your skin is marked with pink bumps that rupture and become crusty. Most children receive vaccinations to protect against these childhood diseases.

Your doctor will ask you a series of questions to help diagnose the cause of your skin lump, such as:

  • Who first discovered the lump? (sometimes a loved one is the one that mentions a lump or skin finding)
  • When did you first discover the lump?
  • How many skin lumps do you have?
  • What are the color, shape, and texture of the lumps?
  • Does the lump hurt?
  • Are you experiencing other symptoms? (such as itchiness, fever, drainage, etc. )

The color and shape of the lump can be an important part of diagnosing the problem. A mole that changes color, grows in size to larger than the size of a pencil eraser, or has an irregular border is a red flag. These characteristics are signs of possible skin cancer.

Basal cell carcinoma is another form of skin cancer that looks like an ordinary skin lump or pimple at first glance. A lump could be cancerous if it:

  • bleeds
  • doesn’t go away
  • grows in size

Discuss any unusual skin lumps with your healthcare provider. You may need a skin biopsy if your lump appears suddenly and without explanation. A biopsy is the removal of a small sample of your skin tissue. Your doctor can test the biopsy sample for cancerous cells.

Home care

Discomfort or pain from lymph node swelling, enlarged salivary glands, or a skin rash caused by a viral illness can be managed. You should try ice packs, baking soda baths, and fever-reducing medication.

Skin lumps caused by injury usually fade on their own as the swelling goes down. Applying an ice pack and elevating the area can reduce inflammation and ease pain.

Prescription medication

You will need antibiotic medications to help the lumps heal if your skin lump is caused by an infection or abscess.

Your healthcare provider may prescribe topical medications to eliminate acne bumps, warts, and rashes. Topical skin ointments and creams may contain salicylic acid or benzoyl peroxide. These ingredients help reduce local infection and bacteria found in cystic acne. The acid may also help decrease the amount of skin that has built up around a wart.

Corticosteroid injections are a possible treatment for skin lumps that become inflamed. Corticosteroidsare powerful anti-inflammatory drugs. Cystic acne, generalized skin infections, and benign cysts are among the types of skin lumps that can be treated with corticosteroid injections. However, these injections can have side effects near the area of injection, including:

  • infection
  • pain
  • loss of skin color
  • shrinking of soft tissue

For this reason and more, corticosteroid injections are generally used no more than a few times a year.

Surgery

A skin lump that causes continual pain or is hazardous to your health may require a more invasive medical treatment. Skin lumps that may warrant drainage or surgical removal include:

  • boils
  • corns
  • cysts
  • cancerous tumors or moles
  • abscesses

Most skin lumps aren’t serious. Usually, treatment is only necessary if the lump is bothering you.

You should go to a doctor any time you’re concerned about a growth on your skin. Your doctor can evaluate the lump and make sure it’s not a symptom of a serious underlying condition.

Last medically reviewed on November 30, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Basal cell carcinoma. (n.d.).
    aad.org/dermatology-a-to-z/diseases-and-treatments/q—t/skin-cancer
  • Lumps and swelling. (2015).
    nhs.uk/conditions/lumps/
  • Mayo Clinic Staff. (2017). Boils and carbuncles.
    mayoclinic.org/diseases-conditions/boils-and-carbuncles/basics/definition/con-20024235
  • Mayo Clinic Staff. (2015). Prednisone and other corticosteroids.
    mayoclinic.org/steroids/art-20045692
  • Mayo Clinic Staff. (2017). Epidermoid cysts.
    mayoclinic.org/diseases-conditions/sebaceous-cysts/symptoms-causes/syc-20352701

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

May 11, 2023

Written By

Erica Roth

Edited By

Ari Howard

Nov 30, 2017

Medically Reviewed By

Cynthia Cobb, DNP, APRN

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Medically reviewed by Cynthia Cobb, DNP, APRN, WHNP-BC, FAANP — By Erica Roth — Updated on May 11, 2023

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Subcutaneous seals – General information, Causes.

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Symptoms and diseases

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General information

Subcutaneous lumps may occur spontaneously, such as in infectious diseases or inflammation of the lymph nodes, or from a blow. Numerous bumps and bumps on the skin, as well as single ones, can occur. Infections, tumors, the body’s reaction to injury or damage can all lead to swelling, lumps, or bumps on or under the skin.

Depending on the cause, the bumps can vary in size and be hard or soft to the touch. On the skin, the bump may be reddened or ulcerated. The lumps may be painful or painless, depending on the cause of the injury.

Causes

There are a lot of reasons for the appearance of various bumps on the skin and all of them are directly related to skin diseases:

  • Lipoma (benign tumor of adipose tissue). The bump can be of any size (from a few millimeters to several centimeters). Usually painless, without discoloration of the skin, firm to the touch.
  • Mole. The bump on the skin is soft, brown or black, absolutely painless.
  • Skin cancer. A seal or bump can occur in various places on the body, have a different color (from normal to dark), soldered to the skin and surrounding tissues. Accompanied by soreness and suppuration in the later stages of its development.
  • Enlarged lymph nodes. The lump is located above the lying lymph nodes, dense and hot to the touch, painful, the size is from a pea to a walnut, not soldered to the surrounding tissues. It is combined with the presence of infection in the body (temperature, intoxication).
  • Intradermal cyst. The formation of various sizes, usually of a dense consistency, with unchanged skin color. It can periodically become inflamed, even with the release of the contents to the outside.
  • Skin abscess. The bump is dense and painful, the skin above it is red and hot, there is pus inside. It is associated with an increase in body temperature.
  • Hemangioma. It is a bump of red color, soft or dense consistency, painless.
  • Warts. They are bumps or nodules of different sizes, painless or slightly painful. The skin above them may retain its natural color or take on red tones.
  • Malignant tumors of superficial structures. These formations include basal cell carcinoma, soft tissue sarcoma, neurofibromatosis, etc. Bumps and seals can be from a few millimeters to tens of centimeters. At the beginning of the disease, they are painless and do not cause much distress to the patient. Later, they can become inflamed and decompose.
  • Presence of foreign bodies. These are all kinds of fragments, bullets and other items. In this case, the bump depends on the size of the foreign body, often painful.
  • Rheumatoid nodules. They are seals on the skin that absolutely do not manifest themselves. However, in addition to this, pain and deformity of the joints can be detected.

The appearance of palpable painful lumps – description, causes, symptoms, diagnosis and treatment

Sometimes a person can find strange lumps on his body that were not observed before. They can be quite harmless and will go away on their own in a few days. In the worst case, they are the body’s signals of disease. If you notice seals, you should immediately consult a doctor to find out their nature.

What are seals?

Lumps are usually lumps and accumulations of naturally occurring substances in the body (such as fat or lymph). Sometimes they are the initial step in the formation of tumors: both benign and malignant.

If the neoplasm that has arisen not only provokes pain, but is also accompanied by fever, general malaise, dizziness and other symptoms, then a medical examination should be carried out. It is also worth sounding the alarm when, after a few days, the seal does not go away, but only grows.

Usually lumps are found in the nose, on the earlobes, behind the ears. For starters, it is worth being examined by an otolaryngologist. After the initial examination, the patient may be referred to a surgeon or oncologist. But usually the treatment is carried out by an ENT specialist.

Causes of Painful Lumps

There are many reasons for the appearance of lumps. Before treatment, it is especially important to determine the exact cause of the appearance of the neoplasm – only in this case the treatment will be effective and safe.

Seals are formed for the following reasons:

  1. Activation and development of malignant processes in the tissues of the mucous membrane, soft tissues (usually manifested against the background of inflammation).
  2. Inflammation of the lymph nodes – manifested by a seal behind the ear. Along with this, a person has symptoms of intoxication of the body.
  3. Chronic diseases of the ears, nasopharynx, accompanied by inflammatory processes. They are characterized by seals in the ears or in the nose.
  4. Blockage of the sebaceous gland, which leads to the impossibility of secreting fatty secretion to the surface of the skin and, as a result, the development of compaction.
  5. Hormonal disorders in the body (thyroid diseases, for example) almost always lead to the appearance of neoplasms under the skin.
  6. An increase in the volume of the lymphatic tissue of the adenoids – seals and bumps in the nose are detected.
  7. Mechanical damage, which is accompanied by inflammatory processes inside the tissues. They can walk on their own.
  8. Infection when creating tattoos, piercing ears, nose. The place turns red, inflames. Suppuration may occur.
  9. The first stages of the formation of a boil.
  10. Benign neoplasms and tumors – the problem is solved with specialists in the field of oncology.

To obtain an accurate result regarding the true cause of neoplasms, it is necessary not only to undergo an initial examination and examination, but also to conduct appropriate tests.

Types of seals

Seals that appear in the area of ​​the ears or nose are usually divided into several types depending on the mechanism of formation. Incorrect determination of the true causes of compaction can lead to ineffectiveness of therapy and deterioration of the patient’s condition.

Atheroma

It is a seal that is formed as a result of blockage of the sebaceous gland. The pain syndrome is very weak and inexpressive. Atheroma can appear anywhere on the body, but in the vast majority of cases it affects the ear area and the skin next to the wings of the nose.

The seal feels like a miniature ball with liquid inside. When pressed, it overflows. The transition from this stage to a malignant form is impossible.

Lipoma

This formation is called a wen. Painful sensations appear with pressure on the place of occurrence.

It is quite large and is considered to be benign. Usually it remains so, but there is a small probability of transition to a tumor, therefore, if a wen is found, it is better to remove it.

Polyp

Polyps are benign growths that often occur in the nose. Painful manifestations are not observed. Outwardly, they resemble a pea or have the shape of a mushroom. It is observed 3.5 times more often in men than in women. Children are prone to polyps.

Among the symptoms are nasal congestion, mucous discharge, and ordinary drops from the common cold do not help. If left untreated, various diseases of the respiratory system are possible, as a person begins to breathe through his mouth.

Fibroma

It is a benign type of formation. Often observed in the nose – ossifying fibroma of the sinuses. To the touch, it is a hard bump, which consists of a combination of fibrous and bone tissue, as well as various secretions.

Usually inherited. The exact reasons for the appearance of this formation is unknown. Removal is performed surgically. It is recommended to carry it out as early as possible to prevent possible complications.

Lymphadenitis

Forming seal behind the ear usually indicates inflammatory processes in the lymph node. The resulting neoplasm is quite painful, accompanied by skin itching and inflammation. In most cases, there are signs of poisoning of the body – the body temperature rises, general malaise, dizziness and pain appear. Due to itching, many begin to comb the seal, which leads to complications.

In the acute course of the disease, antibiotic therapy, UHF therapy, vitamin complexes are prescribed. If suppuration is observed, then the seal is opened, the pus is removed and disinfected.

To cure chronic lymphadenitis, you need to get rid of the underlying disease that provokes inflammation of the lymph nodes.

Mastoiditis

The main reason for the formation of a painful induration behind the ear is untreated otitis media. The resulting fluid from the infection enters the pores of the bone, which leads to the appearance of a solid neoplasm, which gradually grows. A person’s body temperature rises, a general malaise appears.

For treatment, a conservative method is usually used – various antibiotics in combination with antihistamines, anti-inflammatory drugs. An operation is necessary in case of an acute course of the disease.

Malignant tumors

They are manifestations of various diseases accompanied by oncological complications. The resulting seals are painful, characterized by a rapid increase. Often they have a grayish or greenish tint, which indicates their malignancy.

An unpleasant odor may occur. It requires urgent medical attention and prompt treatment. With timely treatment, the prognosis is favorable.

Furuncle

Due to certain disturbances in the body, a furuncle begins to die and fester. It is caused by pathogenic microbes that continue to act actively against the background of a weakened immune system as a result of diseases.

Painful induration in the nose gradually turns into an abscess, discharge, bumps and a characteristic odor appear. Requires urgent medical attention to prevent complications.

Bruise marks

Bruised lumps are common. Even without treatment, they pass in a week or two. To accelerate healing, the use of ointments is recommended. There is a slight swelling and pain when pressed.

The damaged area usually takes on a bluish tint due to the destruction of blood vessels.

Consequences of a tick bite

If the bitten tick was removed incorrectly, as a result of which its head remained at the site of the bite under the skin, suppuration may occur in the tissues during their overgrowth. There is a painful seal that can increase. It is urgent to see a doctor to prevent its spread and blood poisoning.

Whatever the seal may be, it is worth having it checked out by a specialist. At its core, it is only a sign of dangerous processes in the body or diseases. Seals rarely pass without medical assistance (the only exceptions are formations resulting from bruises).

Diagnosis

If a lump is found, an otolaryngologist should be consulted, as neoplasms affect the ears and nose. The doctor conducts an initial examination and palpation of the problem area. If a possible cause is clarified, then the specialist puts forward a presumptive diagnosis. To confirm or refute it, it will be necessary to pass the appropriate tests and undergo examinations. In case of suspicion of malignant tumors, the patient is sent to the oncology department.

To find out the true causes of the disease, the following methods of diagnosis and examination are used:

  1. Rhinoscopy is a hardware check of the condition of the nasal cavity.
  2. Computed tomography and its varieties – is prescribed in case of seals behind the ear, as they affect the cranial surface.
  3. Ultrasound of the lymph nodes – is prescribed if there is a suspicion of inflammation of the lymph nodes in the body.
  4. Ultrasound compaction – required to determine the exact size of the neoplasm, determine its contents and communication with adjacent tissues.

If it is a possible cancer, a biopsy is necessary. Taking cells will allow you to accurately determine the oncological processes developing in the body.