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The not- so- ugly truth about lumps and bumps. By. Angela Epstein for the Daily Mail. Updated. 2. 1: 5. GMT, 2. 1 August 2. Worry, but a lump on the neck is usually just a cyst that is blocking an oil gland. When you find a lump, it is natural to panic and suspect the worst - namely cancer. But while anything out of the ordinary should be assessed by a doctor, most of the time lumps are quite harmless.
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Here, with the help of leading experts, are the most common causes - and what to do about them. LUMP ON THE NECK MOST LIKELY: Sebaceous cyst, swollen glands Mr Hisham Mehanna, consultant head and neck surgeon at the University Hospital, Coventry, says: 'Sebaceous cysts often happen when an oil gland gets blocked and the fat builds up, causing a painless lump.
Sebaceous cysts do not become cancerous.' TREATMENT: Sebaceous cysts can be removed under local anaesthetic. Swollen glands could be a sign of an infection and may be treated by antibiotics. WARNING SIGNS: They could be the first sign of leukaemia or Hodgkin's disease, or even a cancer elsewhere in the body which has spread to other sites.
But these lumps tend to be at the side of the neck and are very hard. Thyroid disease causes swelling in the middle area at the base of the neck around the Adam's apple. Any lump which is getting bigger and has been there for more than three weeks should be reported immediately. ON THE LEG MOST LIKELY: Dermatofibroma. Dr Andrew Wright, consultant dermatologist with Bradford NHS Trust, says: 'This is a small, firm, harmless lump which makes the surface of the skin look dull, shiny or scaly. They are usually no more than half an inch across and contain scar tissue.
Most patients who have a dermatofibroma have only one, however some may get several. They can grow as a result of a minor injury, such as being pricked by a thorn or from an insect bite.' TREATMENT: As dermatofibromas are harmless, they can simply be left alone. Watch Table 19 Online there. However, you may be referred to a dermatologist so they can be removed under local anaesthetic if they are unsightly or growing.
Occasionally they will disappear without intervention, although this is rare. WARNING SIGNS: If a lump or spot on your skin starts bleeding, if the lump hurts, itches, or does not heal, then it could potentially be skin cancer. Squamous cell carcinoma - one form of skin cancer - starts as a scaly red patch and then hardens. UNDER THE ARM MOST LIKELY: Blocked hair follicles, swollen breast tissue or swollen lymph glands Lester Barr, consultant breast cancer surgeon at the Genesis Breast Cancer Prevention Centre, Manchester, says: 'Sweat glands that become blocked can swell and cause a lump. Lymph glands under the arm can also swell up when we have a general infection or virus. Rather strangely, they can also swell up should you be scratched by a cat, as this can lead to a virus. When women breastfeed, the tissue under their arms can also swell, leading to a lump.' TREATMENT: Swollen lymph glands are often due to a minor infection.
If it is viral, there is no specific treatment, however you must have the lump checked by your GP. Swollen breast tissue may be linked to the menstrual cycle. If the hair follicle is blocked, it may be infected so you could need antibiotics. WARNING SIGNS: A lump under the arm could be breast cancer or Hodgkin's disease. These lumps tend to be soft, rubbery and a bit tender, and ache more after drinking alcohol. IN THE WRIST MOST LIKELY: Ganglion. Mr Neil Toft, consultant hand surgeon at the Royal Free Hospital in London, says: 'Ganglion cysts form when lubricating fluid leaks from the lining of the joint or tendon, and forms a small sac or bubble between the bones. They feel like smooth, hard and round lumps under the surface of the skin, and vary in size.
The cause is not known.' TREATMENT: If it is painful or affecting hand movement, a ganglion can be drained by a GP using a syringe. However, there is a 5. Ganglion cysts used to be known as 'Bible bumps' because the age- old cure was to thump them with the family Bible in an effort to burst the cyst. This is not recommended as it may damage the wrist and is unlikely to solve the problem in the long term - the ganglion will possibly return. WARNING SIGNS: Though extremely rare, lumps in the wrist may be due to a sarcoma, a cancer of the muscles, nerves, fat, blood vessels and deep skin tissues. Always check a lump that is getting bigger, however painless.
IN THE GROIN MOST LIKELY: Skin tag or ingrown hair. Dr Andrew Wright, consultant dermatologist with Bradford NHS Trust, says: 'Skin tags are small soft lumps attached to the skin by a stalk. They tend to feel quite squashy, while tumours are more likely to be lumpy, and are usually the same colour as the skin. Ingrown hairs happen after the follicle is weakened, perhaps by waxing or shaving, causing the hair to grow inwards, sometimes resulting in infection. They can appear red, white or even black.' TREATMENT: Your GP can cut, freeze or remove large skin tags with a local anaesthetic but they are harmless.
Ingrown hairs can cause inflammation and infection of the hair follicle, known as folliculitis. This can be treated by antiseptics and antibiotics. Watch The Eagle`S Brood Download Full. WARNING SIGNS: Hodgkin's disease, a form of cancer that affects cells in the lymphatic system, can cause painless lumps under the skin, rather than on the skin. Other symptoms include night- time sweats and fever, fatigue, unexplained weight loss, itchy skin and rashes. IN THE BOTTOM MOST LIKELY: Piles Professor William Steward, a specialist in colorectal cancer and professor of oncology at the University of Leicester, says: 'Piles, or haemorrhoids, are swollen blood vessels on the inside of the anal canal, and affect up to one in four adults. There are different types, some of which can't be seen and others which are larger and protrude, forming lumps on the outside. They can bleed, and cause itching and pain.' TREATMENT: Soothing creams, ointments and suppositories may ease pain and itching.
They can also be removed via a procedure known as banding in which an elastic band is placed just above the pile. This will cut off the blood supply, causing it to shrink.
Another non- surgical treatment, sclerotherapy, involves injecting them with an oily solution. WARNING SIGNS: Always see a doctor if you are passing blood. Sometimes piles can develop alongside bowel cancer due to a tumour stopping blood in the area draining back properly. Regular sufferers should still go if over- the- counter treatment is not effective in two weeks. Other symptoms of bowel cancer include constipation, diarrhoea, a feeling that you need to empty your bowels even when you have just done so, unexplained weight loss, lethargy and dizzy spells. ON THE SHOULDER MOST LIKELY: Lipoma Lester Barr says: 'A lipoma is a soft, fatty, benign lump of fat cells most commonly found on the shoulders, though it can happen wherever there are fat cells. There is no particular cause and lipomas vary in size from pea- size to an inch in diameter.' TREATMENT: Occasionally, a lipoma needs to be removed if it presses on a nerve and causes pain.
This can be done under local anaesthetic. WARNING SIGNS: If the lump or the pain grows - or starts to hurt - you should have it checked by your GP. IN THE MOUTH MOST LIKELY: Mouth ulcer Dr Phil Stemmer, of the Teeth for Life clinic in London, says: 'Mouth ulcers are painful sores inside the mouth which are caused by injury from teeth, by brushing them too hard, stress, hormonal changes or simply being under the weather.' TREATMENT: Pastilles, gels and patches are available to relieve the pain and create a barrier while the mouth ulcer heals. Gargling and swallowing soluble paracetamol relieves the pain and rinsing the mouth with iced water before a meal makes eating easier. WARNING SIGNS: If you have an ulcer which does not get better after ten days, it needs further investigation.