Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
187 Doctors are Online

Having painless lump and swelling on lower leg. X-ray and ultrasound done. How to get relief?

User rating for this question
Very Good
Answered by

Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
My son has a painless lump on his middle lower left leg that we noticed a couple of weeks ago, he has had an x-ray and it said there was a soft tissue mass. He then had an ultrasound to further investigate and they determined it was a hemotoma (approx. 2cm across) . The issue I have is that my online research seems to say that they are usually associated with some pain and he does not have any??? Just wanting to make sure they are not overlooking something like a sarcoma. They say if it has not gone away in a month that he will have an mri.
Posted Tue, 7 Aug 2012 in Bones, Muscles and Joints
Answered by Dr. Hema Yadav 1 hour later
Thanks for posting your query.
Yes you are right in saying that most hematomas are painful because they represent injury or inflammation of the soft tissue involved.
In case your child has developed a gradual painless swelling on his leg without any definite history of trauma or external bruise and which is painless and progressive ( increasing in size then the best way to confirm the diagnosis is to get an MRI scan right away . Even a hematoma can be Confirmed and classified better on a MRI scan than an ultrasound .
Sarcomas of leg are less common rather rare tumors though it is a possibility and should be excluded in any child with painless progressive lumps in the lower extremities. Infact some may even be associated with hematoma or painful( if spreading internally ) .
The decision for further testing is taken by a doctor depending on the complete clinical history , examination of the swelling and the radiological features . Hence I assume that your doctor might have taken an appropriate decision.
But I would say you can always discuss it with his doctor and demand a more confirmatory test to be on the safer side.
Please do not panic as there is a possibility that the hematoma might be a long standing one in which the initial injury and pain might have been overlooked and a healing painless hematoma is being investigated .
Most hematomas may take weeks to a month for compete resolution hence your doctor has advised you for a wait and watch approach .
I understand your dilemma & so I would advise you to discuss your fears with the treating doctor to view things with a fresh perspective and come to a common conclusion.
Hope I have answered your query.
Kindly accept my answer if you have no further queries.
Wishing your child good health .
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests

The user accepted the expert's answer

Ask a Sports Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor