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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Small Lumps On The Back?

Hello doctors, I had a node/ hard lump like formation on my back just beneath the rib line. Its been there without any pain for more than 2-3 years. But lately i notice that it has increased in size and extending to form another node/ lump right next to it. Another small node noticed on back shoulder and most recent and small one felt only by touch on the fore arm. One of the doctors said they may not be a concern and could be removed any day without any hurry. But i am concerned. Please suggest.
Thu, 13 Jun 2019
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General & Family Physician 's  Response
Hello,

From the description you gave, my first diagnosis is a lipoma. Lipomas can appear as solitary nodules or in groups.

Most lipomas are less than 5 cm in diameter and have no symptoms, but they can cause pain when they compress nerves.

Lipomas are not removed unless there is a cosmetic concern, a compression of surrounding structures or an uncertain diagnosis.

Lipomas generally do not infiltrate into surrounding tissue so they can be removed easily by excision.

There are alternatives to standard excision. One is to manually squeeze the lipoma through a small incision.

Liposuction-assisted lipectomy also can be used to remove large lipomas with minimal scarring. Lipotherapy is another option.

In this, a fast dissolving drug called deoxycholic acid (Kybella) is injected directly into the lipoma, leaving no scarring.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr AJEET SINGH, General & Family Physician
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What Causes Hard Small Lumps On The Back?

Hello, From the description you gave, my first diagnosis is a lipoma. Lipomas can appear as solitary nodules or in groups. Most lipomas are less than 5 cm in diameter and have no symptoms, but they can cause pain when they compress nerves. Lipomas are not removed unless there is a cosmetic concern, a compression of surrounding structures or an uncertain diagnosis. Lipomas generally do not infiltrate into surrounding tissue so they can be removed easily by excision. There are alternatives to standard excision. One is to manually squeeze the lipoma through a small incision. Liposuction-assisted lipectomy also can be used to remove large lipomas with minimal scarring. Lipotherapy is another option. In this, a fast dissolving drug called deoxycholic acid (Kybella) is injected directly into the lipoma, leaving no scarring. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician