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A Short Introduction to Common Skin Lumps and Bumps

There are multiple growths that can occur on skin. Usually these growths are not cancerous (benign) but sometimes require further investigations to confirm the diagnosis. Examples of benign growths include cysts, lipomas, seborrheic keratosis, sebaceous hyperplasia, pyogenic granuloma and skin tags. Have a check with our dermatologist to see what it is or if a biopsy or removal is needed.


Epidermal Cysts

These appear are dome shaped lumps with a central punctum. It can occur on any part of the skin such as face, neck, body, arms, and legs. An epidermal cyst may remain a similar size for many years without any issue, `but it can also suddenly increase in size with cheesy discharge or may get infected or rupture. Do discuss with our dermatologist on treatment options for this.


Lipomas

Lipomas are fat cell tumours under the skin. It appears as a smooth dome shaped lump under the skin. It is usually benign, slow growing and often harmless. Sometimes though, it may be painful. It can be removed surgically if needed.


Seborrheic Keratosis

These are common rough, tan-brown to dark pigmented growths that appear ‘stuck on’ the skin. Commonly occurring in sun-exposed areas and usually seen amongst the elderly. It may not have any symptoms but sometimes may be itchy and may bleed on scratching. Sometimes it is difficult to distinguish this from skin cancers.


After a check by our dermatologist, if it a seborrheic keratosis, it may be left alone. If patients are keen for removal, it may be removed with cryotherapy (liquid nitrogen), electrosurgery or an excision.


Sebaceous Hyperplasia

These are enlarged oil glands that occur on the face appearing as skin-coloured bumps.Our dermatologist will make an assessment to confirm the diagnosis. It can be removed but often recurs.


Pyogenic Granuloma

This is a vascular (blood vessel) lump in origin usually after a result of trauma. Hence it often occurs on fingers, face and lips. It is friable, fragile and bleeds easily. If it occurs in older patients, a skin cancer should be ruled out. Treatment often includes electrosurgery, cryotherapy or surgical excision.

Skin Tags

Skin tags are extra skin that appear as small bumps, sometimes pedunculated. Usually found at fold areas such as the neck and underarm. It usually does not cause any problems and can be left alone. At times, the skin tag has been found to twist on its base and may result in pain and infection. The cause of skin tags is unknown. It can be removed with electrosurgery or snip excision under local anaesthesia. It can recur.


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