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Suggest treatment for bruised lump near the buttocks - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1503 Questions
User:I fell down a few stairs in the middle of January. I had a huge bruise and it burned to the touch for several weeks. The bruise is gone and so is the pain but it seems I have a deformity now. Like the imprint of the stair that I fell on. When I push lump it does not hurt, but it is palpable ugly. is there anything I can do?
User:Hi Doc
Doctor:Please give me a minute to read your query
Doctor:Yes, I have read your concern
Doctor:Where is the location of the lump?
User:left buttock near crack
Doctor:oh ok
Doctor:sorry about that
User:yeah it sucks
Doctor:What is the consistency of the lump?
Doctor:Is it soft or hard or from?
User:it feels like adipose
User:soft ish
Doctor:Where do you think it is arising from? Is it the bone? fat? soft tissue?
Doctor:all right
User:soft tissue
User:when I push on it it kind of reminds me of cellulite
Doctor:It can be a benign cyst
Doctor:Is there any pus discharge from it?
Doctor:Is the skin over it intact?
User:but it wasn't there before the fall
User:intact yes
User:no dishcarge
User:no pus
Doctor:Al right
User:there is an indentation where I fell on the stair
Doctor:it must be a benign swelling that has developed post the trauma
Doctor:I see
Doctor:This can be adipose tissue as you said
Doctor:Is it painful and bothering you?
User:moved over by the trauma?
User:not painful but if I sit back on it it is unconfortable
Doctor:all right
Doctor:You may want to get it excised
Doctor:Ideal way would be to go for an excision biopsy
User:so no therapy will work it out?
Doctor:This way, the whole lump can be removed and sent for histopathological examination
User:I see
Doctor:For soft and benign tumors, surgical removal is the treatment
User:so there is no such thing as tissue displacement?
Doctor:medical management is temporary
Doctor:nothing as such
Doctor:you need to get the whole lump excised
User:and I could get a benign cyst from the trauma?
Doctor:yes, it is possible
User:and in your opinion there is no other treatment other than excision?
Doctor:or it can be just that it was insidious in onset
Doctor:that is right
User:isnsidious on onset...
Doctor:excision followed by Histopathological study of the specimen
User:can you please further explain "insidious on onset"?
Doctor:insidious means the the swelling just appeared one day
Doctor:with no obvious reasons behing
User:I see
User:ok what is the expected down time for an excision?
Doctor:not more than an hour
User:and stitches of course..
Doctor:would heal in 7 to 10 days time
User:what kind of MD should I see for such a procedure?
Doctor:You should see a General surgeon
User:how long can I wait to get this don?
User:is there anything wrong with waiting a few more weeks or months?
Doctor:There is no harm in waiting for a few months
Doctor:since it mostly looks benign
Doctor:If your feeling of uncomfort increases, you can go for the surgery accordingly
Doctor:This can wait a few months
Doctor:no problem with it
User:ok great. thank you
Doctor:my pleasure
Doctor:take care and get well soon
Doctor:Do you have any more queries for now?
User:thanks and have a great night
User:not now thank you
User:not now thank you
Doctor:all right
Doctor:good day ahead
Doctor:Bye for now
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