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Suggest Treatment For Hair Loss And Migraine
Question: Hello,
About a year and a half ago, on the way back from a trip (eastern europe) I notice an hair loss (very delimited region, about 2 cm diametre). Over the following weeks, the area was absent of hair and a growth developed in the region. Few months later, I consulted a GP who referred me to a Dermatologist who referred me to a surgeon for a minor surgery. In the meantime the growth maintain it sized (it reduced, then grew again) but hair started growing again.
The surgeon made the incision on my scalp (about 1cm max) away from the bump), she stated that she was having a hard time locating it (it is pretty palpable in my opinion) and then concluded that there was nothing, most likely to be an accumulation of scar tissues. I strongly believe, (I'm not doubting her competence or overestimating my ability to make a prognosis) that she did not explore the proper area.
Now, months later, the growth is still here, it's hard, as it as always been, it doesn't grow much, but it varies in size (I think it mostly depending on the blood flow). When I lay down or sleep, I can usually expected it to be harder / larger than it is during the rest of the day.
I am getting a little worried because it could be a lot of things and it takes time to see a practician back home (I'm currently on an assignment abroad but I will be back to Canada in January). I don't have any specific symptom, I have had a lesser quality of vision, but it started before the growth and I have not been wearing my prescription glass like advised to. I don't feel particularly nauseous (I've always been more likely to puke than my friends when consuming alcohol, but not if I'm sober); I have head aches from time to time but we have a history of migraine in the family. The growth is not painful, it's hard, out of 10 I'd say 8.5.
Anyway, I said as much as I could.
About a year and a half ago, on the way back from a trip (eastern europe) I notice an hair loss (very delimited region, about 2 cm diametre). Over the following weeks, the area was absent of hair and a growth developed in the region. Few months later, I consulted a GP who referred me to a Dermatologist who referred me to a surgeon for a minor surgery. In the meantime the growth maintain it sized (it reduced, then grew again) but hair started growing again.
The surgeon made the incision on my scalp (about 1cm max) away from the bump), she stated that she was having a hard time locating it (it is pretty palpable in my opinion) and then concluded that there was nothing, most likely to be an accumulation of scar tissues. I strongly believe, (I'm not doubting her competence or overestimating my ability to make a prognosis) that she did not explore the proper area.
Now, months later, the growth is still here, it's hard, as it as always been, it doesn't grow much, but it varies in size (I think it mostly depending on the blood flow). When I lay down or sleep, I can usually expected it to be harder / larger than it is during the rest of the day.
I am getting a little worried because it could be a lot of things and it takes time to see a practician back home (I'm currently on an assignment abroad but I will be back to Canada in January). I don't have any specific symptom, I have had a lesser quality of vision, but it started before the growth and I have not been wearing my prescription glass like advised to. I don't feel particularly nauseous (I've always been more likely to puke than my friends when consuming alcohol, but not if I'm sober); I have head aches from time to time but we have a history of migraine in the family. The growth is not painful, it's hard, out of 10 I'd say 8.5.
Anyway, I said as much as I could.
Brief Answer:
Clinical examination is needed
Detailed Answer:
Hi, thanks for posting the concern in HCM.
A hard lump on scalp may be due to numerous reasons.
It may be as simple as a keratin filled cyst or a benign tumour like fibroma or a metastatic deposit of some malignant one or due to fungal infection. Size, consistency, tenderness, location and any associated condition like Seborrhoeic dermatitis, can help in diagnosis. Therefore, clinical examination is very important.
Now, if it is a simple keratin cyst, which it seems to be more likely from the history, or a fibroma, which is less likely to reduce and again enlarge, excision is the treatment of choice.
If your surgeon failed to remove the mass, you need to have a second opinion from another surgeon in the city. If needed, repeat excision can be done and the material should be sent for biopsy.
If you find this answer helpful, please close the thread and rate my answer.
Regards
Dr Kaushik Sarkar
Clinical examination is needed
Detailed Answer:
Hi, thanks for posting the concern in HCM.
A hard lump on scalp may be due to numerous reasons.
It may be as simple as a keratin filled cyst or a benign tumour like fibroma or a metastatic deposit of some malignant one or due to fungal infection. Size, consistency, tenderness, location and any associated condition like Seborrhoeic dermatitis, can help in diagnosis. Therefore, clinical examination is very important.
Now, if it is a simple keratin cyst, which it seems to be more likely from the history, or a fibroma, which is less likely to reduce and again enlarge, excision is the treatment of choice.
If your surgeon failed to remove the mass, you need to have a second opinion from another surgeon in the city. If needed, repeat excision can be done and the material should be sent for biopsy.
If you find this answer helpful, please close the thread and rate my answer.
Regards
Dr Kaushik Sarkar
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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