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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Painless Hard Lump Leads To Cancer?

My 14 year old son has a hard lump on top of his shoulder. It s about the size of a grape and we just noticed it, he s not sure how long it s been there. . He says it s painless and it seems to be stationary. I made a dr appt for next Monday. I m very worried it could be some sort of cancer. What could it be?
Thu, 20 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should not worry much about this swelling.
By your description of swelling, I think your son is having either dermoid or lipoma.
Both are soft tissue swelling commonly occuring.
Both are painless, non itchy and non tender. Almost 100% benign.
Dermoid contains fibrous tissue while lipoma contains fatty tissue.
So no need to worry much. Get done excision biopsy from the swelling. This will give you correct diagnosis. It seems dermoid mostly.
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Can A Painless Hard Lump Leads To Cancer?

Thanks for your question on HCM. In my opinion you should not worry much about this swelling. By your description of swelling, I think your son is having either dermoid or lipoma. Both are soft tissue swelling commonly occuring. Both are painless, non itchy and non tender. Almost 100% benign. Dermoid contains fibrous tissue while lipoma contains fatty tissue. So no need to worry much. Get done excision biopsy from the swelling. This will give you correct diagnosis. It seems dermoid mostly.