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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Small Lump On The Inside Of Middle Finger?

For a couple of years I have had a small lump on the inside of my middle finger on my right hand. I assumed it was blood vessel I injured in some way, and it has never bothered me. In the last couple of weeks, it has gotten a little larger, but the blue/green brown lump is still smaller than a pea. Should I be concerned about this?
Mon, 30 Mar 2015
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General & Family Physician 's  Response
Hello and Welcome to HCM

Thank you for your query.
I completely understand your concern.

As per your history,The lump requires an examination to determine if it is on the top (wrist side) or palm side of the hand.
Fixation or movement with hand open/close maneuver is also important. If it is on the top it is more likely related to an injury or poorly healed fracture; however there are other possibilities. On the palm, it is more likely to be a ganglion.

The doctor may ask for Tests including X-rays, scans, blood tests and particularly in the hand electrical tests (known as EMGs or Neurophysiology). These may be used to help make or confirm a diagnosis after your detailed history and examination.

With solid lumps in the hand the diagnosis is usually obvious after listening to and examining a patient.
Occasionally the surgeon will request an MRI scan to show the extent of the lump particularly if it is large. This helps plan the operation rather than making a definitive diagnosis which requires surgery

If there is a chance the lump may be a cyst (see information sheet) the surgeon may attempt to suck out fluid from it with a needle (aspiration). This is performed under local anesthetic.

Therefore I recommend you to consult a general surgeon for this issue,as he can take up on your issue asap.

Thank You.
Please Hit Thanks,if I helped you with your query.
Do write back for any followup doubts or other queries.
Good Luck.
Stay Healthy.
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What Causes A Small Lump On The Inside Of Middle Finger?

Hello and Welcome to HCM Thank you for your query. I completely understand your concern. As per your history,The lump requires an examination to determine if it is on the top (wrist side) or palm side of the hand. Fixation or movement with hand open/close maneuver is also important. If it is on the top it is more likely related to an injury or poorly healed fracture; however there are other possibilities. On the palm, it is more likely to be a ganglion. The doctor may ask for Tests including X-rays, scans, blood tests and particularly in the hand electrical tests (known as EMGs or Neurophysiology). These may be used to help make or confirm a diagnosis after your detailed history and examination. With solid lumps in the hand the diagnosis is usually obvious after listening to and examining a patient. Occasionally the surgeon will request an MRI scan to show the extent of the lump particularly if it is large. This helps plan the operation rather than making a definitive diagnosis which requires surgery If there is a chance the lump may be a cyst (see information sheet) the surgeon may attempt to suck out fluid from it with a needle (aspiration). This is performed under local anesthetic. Therefore I recommend you to consult a general surgeon for this issue,as he can take up on your issue asap. Thank You. Please Hit Thanks,if I helped you with your query. Do write back for any followup doubts or other queries. Good Luck. Stay Healthy.