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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lump On The Back Of Head Under The Scalp?

I have a lump on the back of my head under the scalp. I first noticed this combing my hair about 6 months ago, back then it was the size of a pimple, now It s the size of a BB pellet, feels like a hard ball, and causes pain when laying face up in bed. Occasionally I get headaches from this lump. It s moves slightly under the skin. My doctor told me it is a lipoma but he hardly didn t touch it he only diagnosed it from the symptoms I gave which I find very weird. I m writing this asking for a second opinion. What do you think? Also, what s the proper procedure to dignosis?
Tue, 11 Aug 2015
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General & Family Physician,  's  Response
hello,
i can understand your concern.
based on the location of the lump it can either be a sub occipital lymph nodal enlargement due to an infection such as dandruff or it can also be a lipoma.
lipomas are usually painless swellings soft to touch most of the times.
they can rarely be painful.
if the size of the lump is increasing as suggested by you and if it is restricting your movements i would suggest a FNAC(fine needle aspiration cytology) where a syringe is used to aspirate from the swelling and this is checked under the microscope.
use an antinflammtory drug like aceclofenac to reduce the pain and inflammation, ashort course of antibiotic like augmentin would also be required.
if the swelling doesnt reduce with these the definite treatment would be surgical resection of the same. this is a minor day care procedure.
hope i have answered your queries.
feel free to ask further queries.
thanks for choosing HCM.
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What Causes Lump On The Back Of Head Under The Scalp?

hello, i can understand your concern. based on the location of the lump it can either be a sub occipital lymph nodal enlargement due to an infection such as dandruff or it can also be a lipoma. lipomas are usually painless swellings soft to touch most of the times. they can rarely be painful. if the size of the lump is increasing as suggested by you and if it is restricting your movements i would suggest a FNAC(fine needle aspiration cytology) where a syringe is used to aspirate from the swelling and this is checked under the microscope. use an antinflammtory drug like aceclofenac to reduce the pain and inflammation, ashort course of antibiotic like augmentin would also be required. if the swelling doesnt reduce with these the definite treatment would be surgical resection of the same. this is a minor day care procedure. hope i have answered your queries. feel free to ask further queries. thanks for choosing HCM.