Lump or Bump Treatment in Sydney
I have a “lump or bump” on or under my skin. What could it be?
“Lumps and bumps” could be caused by:
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Swollen lymph nodes (“glands”). Lymph nodes are part of our body’s defence system against invaders. The body’s main lymph nodes are located in and around the neck, as well as in the arm pits and groin. Swollen lymph nodes are common, and could occur for a number of reasons. However, persistent swollen lymph nodes should be investigated, as in some cases they could be the first sign of cancer.
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Cysts. A cyst is a fluid-filled sac, and is unlikely to be cancerous. Epidermoid cysts (also called sebaceous cysts) are very common, and present as a soft, round, slow-growing lump just under the skin. Sometimes, if this lump is squeezed, a cheesy substance comes out of the cyst. Epidermoid cysts are not dangerous but can occasionally become infected. They are often removed for cosmetic reasons, and recurrence is rare if the cyst and its capsule are taken out completely.
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Lipomas. A lipoma is a soft, non-cancerous growth of fat tissue. Lipomas are usually found just below the skin. They tend to be slow-growing, and are often found on the trunk, shoulders or neck. Lipomas are unlikely to cause pain, unless they press on a nerve. Usually, a lipoma can be diagnosed by simple physical examination, and can be safely observed. (Only very rarely would a biopsy be required, and this would be to exclude a very rare type of cancer called liposarcoma.) Removal of a lipoma is usually done only if it causes symptoms or is requested by the patient. Lipoma removal can usually be done as a day procedure.
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Injury. A localised injury could cause a “lump or bump”.
- Infection. An abscess is a localised collection of pus that may require surgical drainage.
I have a “lump or bump” at my anus. Could it be haemorrhoids?
Haemorrhoids (commonly known as “piles”) are varicose veins of the anus or rectum. They are very common, especially in middle and older age. The main causes of haemorrhoids are:
- A long history of constipation, and straining when passing stool. (In many cases, this could be prevented by drinking enough water and eating a high-fibre diet.)
- Multiple Pregnancies. Pregnancy increases pressure on the veins of the pelvis and increases your risk of developing haemorrhoids.
There are different types of haemorrhoids:
- External haemorrhoids – these are found on the outside of the anus. If a blood clot forms in an external haemorrhoid, it becomes a painful, hard lump.
- Internal haemorrhoids – these are inside the rectum. They are painless but may bleed, typically resulting in bright red spots of blood that may be seen on the toilet paper after passing stool.
- Prolapsed haemorrhoids – Internal haemorrhoids may push through the anus and hang outside the anus. This can be very painful.
It is important to consult your GP to confirm the diagnosis of haemorrhoids, as there are other conditions that may cause similar symptoms. There are effective treatments available to relieve the symptoms of haemorrhoids. In addition, your GP will treat any ongoing constipation.
In most cases, haemorrhoids do not require surgery. Surgery may be required if haemorrhoid symptoms remain severe despite medical treatment. If your GP refers you to Sydney Surgical Clinic, we will provide a detailed explanation of the surgery that is required. It may be necessary for you to stay in hospital for a few days after haemorrhoid surgery.
