Findinga new lump or bump on your body would give most of us pause. After all, a lump can, in rare cases, mean cancer. But not every bump or lumpshould cause concern or worry.
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To get a better understanding of when something new is worth talking to your doctor about, we spoke with orthopedic surgeonNathan W. Mesko, MD.
Are all lumps cause for concern?
The good news is that a majorityof these lumps are harmless and not a cause for concern. Anumber ofskin or medical conditionscan cause lumps and bumps to appear on the surface or just below the skin.
When not to worry
Lumps that are not a cause for concernhave somedistinctive characteristics.
Not-so-seriouslumps usually are:
- Soft.
- Mobile, meaning it moves and changes form when you touch it.
- Located in the superficial or fat layer of skin.
- Grow large and painful with activity, and diminish in size with rest.
Lumps connected to exercise
“One major marker isifyou can connectthe lump’s appearance to a specific trauma or activity,” says orthopedic surgeon Dr. Mesko. Athletes of all levelsexperience the occasional bump as a result of exercise, training, competition or other physical activity, he adds.
“In that case, we recommend you follow the basic RICE method: rest, ice, compression and elevation,” Dr. Mesko says.“If, over time, the lump or swelling improves, that’s a reassuring sign that it is harmless and nothing to worry about.”
Cysts
Oneof the most common conditions that cause lumps, bumps or swelling are cysts. Some common cysts includeBaker’s cysts, a fluid-filled bulgethatforms behind the knee andganglion cysts,rounded lumps filled with a jelly-like fluid that can develop on tendons and joints.
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When to see a doctor
Inrare cases, an unexplained lump, bump or swelling can bea sign of a more serious issue beneath theskin.
Bumps that are cancerous are typically large, hard,painless to the touchand appearspontaneously. The masswill grow in size steadily over the weeks andmonths. Cancerous lumps that can be felt from the outside of your body can appear in the breast, testicl*, or neck, but also in the arms and legs.
Adult soft tissue sarcoma
One type of cancerous lump thatcan form almost anywhere in the body is called adult soft tissue sarcoma.The soft tissues of the body include the muscles, tendons (the bands of fiber that connect muscles to bones), fat, blood vessels, lymph vessels, nerves and the tissues around joints.
Most frequently, though, adult soft tissue sarcoma developsin the legs, arms, chest or the area behind the abdomen called the retroperitoneum, says oncologist Dale Shepard, MD, PhD.
“Adult soft tissue sarcoma is a disease in which malignant cells form in the soft tissues of the body,” he says. “In the early stages, itrarely causes symptoms because the tumors often are located deep in the tissue.”
Soft tissue sarcomas cangrow to be quite large before causing symptoms becausethey often are embedded deep in the body, Dr. Shepard says.
Most commonly, soft tissue sarcomas feel likemasses or bumps, which may be painful. If the tumorisin the abdomen, it may produce nausea or a sensation of fullness as well as pain, he says.
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Adult soft tissue sarcoma is rare. Among adults, they represent less than 1% of all cancers, Dr. Shepard says.
Other causes
Other conditions can cause swelling leading to new lumps, too. While these may not be associated with an emergency condition, they’re worth monitoring and discussing with your healthcare provider:
- Tendinitis.
- Swollen lymph nodes, especially when accompanied by inflammation or infection.
- Rheumatoid arthritis.
It’s important to talk with your doctor about any lumps that are larger than twoinches (about the size of a golf ball), grow larger, or are painful regardless of their location.
“Tell your doctor about new lumps or other symptoms that cannot be explained or that don’t go away in a few weeks,” Dr. Shepard says.