Discussions By Condition: I cannot get a diagnosis.

Lump on top of head

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: curlyjl23
  • January 2, 2011
  • 08:12 AM

I am a 31 year old mother of 3 in generally good health. About 6 months ago I noticed a small lump on the top of my head that was sore to the touch. I am certain this was not caused by trauma. Over the past 6months the lump has grown both in diameter and height. It is hard and unmovable and at this point is similar in size to half a walnut. I have also been experiencing mild to severe headaches that have been increasing in frequency and are now daily occurrences. The headaches come with a sensitivity to noise. i have also been experiencing what I can only describe as a personality change as I seem to have very little patience and feel like I am "snapping" at everyone. I went to see my PCP and she examined the lump, palpitated the lump, and stated it is not a cyst. She then said I should have it removed and referred me to a general surgeon. i asked about further testing such as CT scan, MRI, or ultrasound and I was told they would only confirm there was a lump between the scalp and the skull and we already know that.

At this point I am unwilling to immediately submit to invasive surgery on my head without some additional information. Please I would appreciate any additional input or suggestions.

Thank you

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2 Replies:

  • How invasive do you expect this surgery to be? From your description, it sounds as tho it is to remove the lump that is outside your actual skull bone, and would involve only cutting through the skin of the scalp to remove whatever the lump is. If it is the case that there would possible be a need to cut through the bone, the surgery is obviously more invasive, and certainly more subject to complications. If not, it could be a rather simple procedure. Also, have you asked the doctors what they think the lump possibly could be? Do they think it is a benign tumor or that it could be cancerous? Can it be biopsied using a needle biopsy so you will know what you are dealing with? These are some questions I would ask, but if in fact this lump is responsible for all the symptoms listed, it sounds like it would be worth the rather less risk surgery of not cutting through the skull bone; if they believe it could be a cancerous growth that extends through the bone, then it would almost certainly be worth considering the surgery even it is more invasive, but also to consider other possible treatments in addition to or instead of the surgery, which might reduce the extent or increase the efficacy of the surgery. If there is a lower risk means of determining what this lump is, tell them you would like to hear about it. It does not sound like it should be ignored.
    Anonymous 42,789 Replies
    • January 3, 2011
    • 07:33 PM
    • 0
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  • I did a little internet sleuthing and found that it is not uncommon to just remove a lump under the scalp if it is causing problems, and then possibly check it for cancer if the surgeon thinks it looks suspicious. Sometimes CT scans or biopsies are done before removal. The answer portions of the following websites might give you an overview of what kinds of ailments might cause such lumps and what options are available.http://www.medhelp.org/posts/Dermatology/Lump-under-scalp-/show/647798http://www.medhelp.org/posts/Family-Medicine/Lump-under-scalp/show/227700http://www.medhelp.org/posts/Dermatology/worried-about-lump-under-scalp/show/939071 As for the other symptoms, it could be possible that a growth under your scalp could cause a headache, a headache could make you sensitive to noise, and being in pain all the time could make one snap at people. Of course, I'm no doctor! If you want professional opinions aside from your doctor's then you might want to seek the opinion of a surgeon or a dermatologist.
    Walker12 30 Replies
    • January 6, 2011
    • 09:45 PM
    • 0
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