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Dime sized soft lump on elbow of 6 yr old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3362 Questions
User :   My child has a soft lump below his elbow seemingly on his ulna. It does not hurt, is about the size of a dime, and has been there a couple of years. He is 6yrs old and had an x-ray that I was told was normal. What could this be and should I seek further examination?
Doctor :   hi
User :   hello
Doctor :   Dr. XXXXXXXX here.
Doctor :   what is the consistency of the lump?
Doctor :   has it grown in these 6 years?
Doctor :   usually soft lumps are benign tumors like lipomas which are harmless
User :   It appears to move with the skin, but I cannot feel it when I try to pick it up. I only noticed it a few years ago and waited a few weeks for it to go away and when it did not i got the x-ray
Doctor :   if causing pain or restriction of movement or if any change in consistency is noted, then it can be excised
Doctor :   have you got it examined by your physician?
User :   Could it be a ganglion/
User :   I am an oncology nurse and of course am worried about?
Doctor :   ganglion swelling in children are not that big, they are smaller swellings
User :   I did see his pediatrician before the x-ray and honestly since then have not paid attention. Would an x-ray show soft tissue damage or disease/
Doctor :   no, x-ray will not show soft tissue details in a clear way
Doctor :   MRI is more confirmatory and shows minute tissue details
User :   Any other suggestions?
Doctor :   as to what the swelling could be and from which tissue it could possibly be arising
User :   Should I get an MRI? If it is a long will it be there?
Doctor :   meet your physician to get it examined, request for an MRI to see for the origin of it.
Doctor :   Lipoma can be there lifelong without causing any problems
User :   Does it sound concerning? My child is otherwise very healthy and active.
Doctor :   you can also get a FNAC (fine needle aspiration cytology) biopsy done to see what it it
Doctor :   if the child is active, helathy and gaining weight, you should not worry
Doctor :   however if it is stil bothering you
Doctor :   you can go ahead with MRI and or FNAC
Doctor :   to see what tissue it is and whether in future it can cause any harm
User :   I just really hate to put him through anything if there is no reason too...and I am just a worry wart:-)
Doctor :   and decide on early excision based on the resluts
Doctor :   have you followed what I have said?
Doctor :   is there anything else you would like to ask me ?
User :   Yes Thanks
User :   I have followed and I have no other questions Thanks!
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   Done
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