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What Causes A Round Cyst Like Lump On The Palm?

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Posted on Sat, 1 Oct 2016
Question: Hello, several months ago i started having pain in my hand and noticed a small round cyst like lump on my palm halfway between my thump and middle finger, The lump was an open sore, completely round and about the diameter of an 81 mg aspirin and it that bled a lot.
I thought at first it was a splinter of wood or steel that had stabbed me and was stuck inside but I could not find anything. My mother told me it was a wart, Although it did not look or behave like any wart I had ever heard off, I start using compound W, but after 3 months of daily treatment there has been no change in size or look. It should be noted, there has never been any pus or clear liquid in the hole/sore, with a tissue or band aid it will scab over but within a day will become very painful, almost like pressure building up and I am forced to remove the scab and blood comes out and i feel better for awhile.
Today I finally saw something different when I removed the scab, but it has me worried. Attached to the scab was centimeter and a half white string coming from within the bloody area, it was the same thickness as the string on a teabag. I am tired of the pain and bleeding all the time, any thoughts?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Please give details and post actual photographs for on-the-spot diagnosis

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Rad the history well and understood your concerns.

My thoughts:
This can be a granuloma with or without a foreign body as you too have suspected.
Or can be a granuloma pyogenicum wherein you got the white string up attached to the scab.
This is most probably a slough, meaning a part of the dead tissue as a result of an old wound of 3 months.

Your posting clear and focused photographs would have helped me for on-the-spot diagnosis.
Please post the pictures before and after cleaning with Hydrogen peroxide.

You can simply upload them at the reports section.

Awaiting

Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (1 hour later)
Hi Dr. Chandrakant, thank you for your quick reply, I have uploaded some pictures of my hand, I tried to clean off the dried blood but I didn't want to risk opening the Sore again, the last picture is after the peroxide. The peroxide made the bubble a bit more white in color.
doctor
Answered by Dr. T Chandrakant (32 minutes later)
Brief Answer:
Needs Surgical excision for cure.

Detailed Answer:
Thanks for the clear and focused pictures.
This is granuloma pyogenicum, may be with a small foreign body.
Needs surgical excision for a cure.
Please consult your PCP/Family Physician to get a reference for the Specialist.

I hope this answer helps you to get a proper diagnosis and curative treatment.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes A Round Cyst Like Lump On The Palm?

Brief Answer: Please give details and post actual photographs for on-the-spot diagnosis Detailed Answer: Hi. Thanks for your query and an elucidate history. Rad the history well and understood your concerns. My thoughts: This can be a granuloma with or without a foreign body as you too have suspected. Or can be a granuloma pyogenicum wherein you got the white string up attached to the scab. This is most probably a slough, meaning a part of the dead tissue as a result of an old wound of 3 months. Your posting clear and focused photographs would have helped me for on-the-spot diagnosis. Please post the pictures before and after cleaning with Hydrogen peroxide. You can simply upload them at the reports section. Awaiting Regards