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Treatment of soft swelling called lipoma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have had a clear(whitish) bump on my arm for years. Any chance this is cancer? No redness or misshapen moles
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please describe the 'bump' in detail
Doctor :   is the hair distribution normal above it?
User :   raised -- kind of a skin tag, I guess
User :   yes, no weird hairs
Doctor :   is it soft, firm or hard?
User :   hard
Doctor :   is it movable? if yes, in which directions?
Doctor :   is the skin above it movable separately from the 'bump'?
User :   yes, feels like a big scab but definitely movable
Doctor :   what is the approximate size of it?
User :   hmmm...smaller than a pencil eraser
Doctor :   is it possible for you to send a picture of it for me to have clear look? if yes please send it to YYYY@YYYY
User :   how do I do that?
Doctor :   click a picture and send as mail attachment
Doctor :   to teh given e-mail ID
User :   ok, will do.... do you know who I am?
Doctor :   you will need to write in subjet line your name . your name is appearing as XXXXXXXX in the chat
Doctor :   *subject
User :   got it. thanks.
Doctor :   and mention it addressed to Dr. XXX
Doctor :   is there any pain or discomfort associated?
User :   No, not at all. I never gave it a second thought until I started doing some web research about squamous cell carcinoma
Doctor :   squamous cell Ca will usually be darker than your surrounding skin, not lighter.
Doctor :   and you said it is movable, SCC (squamous cell Ca) are usually fixed, not movable
Doctor :   are you there?
Doctor :   please let me know if you have sent the picture for me to check
User :   I'm having some web cam issues!
Doctor :   ok. no problems. we can continue the discussion.
User :   Give me a computer
Doctor :   as I said, SCC usually be darker than your surrounding skin, not lighter, and are usually fixed
Doctor :   what symptoms made you think of it to be probable SCC?
User :   Nothing except the bump
Doctor :   ok. if you suspect it to be cancer, then and FNAC or biopsy should be done
Doctor :   with your description of the 'bum'
Doctor :   it probably is a lymph node swelling or a skin tag
Doctor :   *bump
Doctor :   hi
User :   did you see the photo?
Doctor :   Dr. XXXXXXXX here.
Doctor :   No I did not since I dint know if you have sent it
Doctor :   please give me few moments
Doctor :   let me check
Doctor :   I just saw it. if it is a little soft swelling, movable and light in color, the appearance of it suggests possibility of a lipoma
Doctor :   which is a benign fat tumor
Doctor :   or a isolated cholesterol deposit
User :   What is lipoma? Is that a problem?
Doctor :   the FNAC /biopsy done will help in identifying the exact cause
Doctor :   the cells identified will help in diagnosis whether it is lipoma or fibrous in nature
User :   yes, of course I will follow up. But not typical of cancer then? Good to know.
Doctor :   the appearance does not suggest malignancy
User :   Cool. Thanks.
Doctor :   FNAC/Biopsy will confirm or rule it out based on the appearance of the cells
Doctor :   is there anything else I can help you with?
User :   No thank you
Doctor :   thanks for consulting me. bye for now.
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