There's a hard lump under the skin of the shoulder, and it's slightly painful.

Jun 01, 2023 Source: Cainiu Health
Dr. Liu Wan
Introduction
A hard, painful lump under the skin of the shoulder may be caused by folliculitis, lipoma, fibroma, or other reasons. Treatment should be selected based on the specific cause, including medication or surgical intervention. Besides these common causes, other possibilities include sebaceous cysts, acne, etc. It is recommended to seek medical attention promptly if any discomfort occurs.

A hard, painful lump under the skin of the shoulder may be caused by folliculitis, lipoma, fibroma, or other conditions. Treatment—whether medication or surgery—depends on the specific cause. Detailed analysis is as follows:

1. Folliculitis

If hygiene at the shoulder area is neglected, bacterial infection may lead to folliculitis. It initially presents as red papules; as the condition progresses, these develop into pus-filled bumps with red surroundings and a white or yellow center, accompanied by pain. Medications such as ofloxacin gel or fusidic acid cream may be used as directed by a physician.

2. Lipoma

This is a common benign tumor originating from subcutaneous fat tissue, formed due to abnormal proliferation of fat cells. It typically appears as one or more soft lumps beneath the skin. Small lipomas may be treated with laser therapy, while larger ones usually require surgical excision.

3. Fibroma

Fibromas are tumors caused by excessive growth of fibroblasts in the skin or subcutaneous connective tissue. They usually appear as raised nodules of varying sizes on the skin surface and are primarily treated through surgical removal.

Besides the above-mentioned common causes, other possible reasons include sebaceous cysts, acne, etc. If any discomfort occurs, it is recommended to seek medical attention promptly for proper diagnosis and treatment.


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