A dermatologist doctor examines the back of a female patient who has inflammation and a fatty tissue on the skin

Key Takeaways

  • Cysts, lipomas, and swollen lymph nodes are among the most common causes of lumps under the skin.
  • A fatty lump under the skin is usually a lipoma, a soft and movable growth that rarely requires treatment.
  • A cyst under the skin is typically a slow-growing, fluid-filled sac that is often painless unless it becomes irritated or infected.
  • Small hard lumps can sometimes point to a firmer cyst or an enlarged lymph node responding to a nearby infection.
  • Syracuse Hernia Center helps patients throughout the Syracuse, NY area understand what is causing a lump, and patients can request an appointment with Dr. Robert Weiss for an evaluation.

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The Most Common Causes of Lumps Under the Skin

Lumps under the skin form for a variety of reasons, and most causes are benign. Understanding what is behind a lump can help make sense of what you are feeling and whether it needs attention.

Lipomas: The Most Common Fatty Lump Under the Skin

A lipoma is a lump of fatty tissue that grows just beneath the skin. According to Cleveland Clinic, lipomas move easily when touched, feel rubbery rather than hard, and rarely cause health problems, so they typically do not need treatment unless they become bothersome. Lipomas most often appear on the neck, shoulders, back, and arms.

Cysts Under the Skin

A cyst is a small, slow-growing, noncancerous sac that forms beneath the skin, often filled with fluid or a keratin substance. Cleveland Clinic explains that these cysts usually do not cause symptoms and are commonly found on the face, neck, and trunk. A cyst may need attention if it becomes painful, infected, or bothersome in appearance.

Swollen Lymph Nodes

Lymph nodes are small, bean-shaped glands found in the neck, armpits, and groin, among other areas. Mayo Clinic notes that swollen lymph nodes are most often caused by a bacterial or viral infection nearby, and they typically return to their usual size once the infection resolves. Cancer is a rare cause of swollen lymph nodes.

Hernias

Not every lump under the skin originates in the skin itself. A hernia occurs when tissue, such as part of the intestine, pushes through a weak spot in the surrounding muscle wall, often producing a noticeable bulge in the abdomen or groin. This type of lump can look similar to a cyst or lipoma at first glance, which is why an accurate evaluation matters.

Comparing Common Lump Types

Lump TypeTypical TextureCommon LocationsUsually Painful?
LipomaSoft, rubbery, movableNeck, shoulders, back, armsRarely
CystSmooth, may feel firmFace, neck, trunkOnly if irritated or infected
Swollen lymph nodeSmall, bean-shapedNeck, armpits, groinSometimes, if tender
HerniaBulge, may push in and outAbdomen, groinCan range from none to significant

When a Lump Under the Skin Needs Evaluation

Even though most lumps have a benign cause, certain signs are worth bringing to a provider's attention, including a lump that grows, becomes painful, feels hard, or does not have an obvious explanation. A small hard lump under the skin, in particular, is worth having examined so its exact cause can be identified rather than assumed.

Get an Accurate Diagnosis at Syracuse Hernia Center

Understanding the cause of a lump is the first step toward the right treatment plan, whether that means simple monitoring or removal. Syracuse Hernia Center offers experienced diagnosis and treatment of skin lesions and lumps for patients throughout the Syracuse, NY area.

If you have noticed a new lump and want to understand what is causing it, request an appointment with Dr. Weiss at Syracuse Hernia Center.

Frequently Asked Questions

What is the most common cause of a fatty lump under the skin?

A fatty lump under the skin is usually a lipoma, a soft, rubbery growth made of fat tissue that moves easily when pressed. Lipomas are common and rarely require treatment unless they become bothersome.

What causes a cyst under the skin?

A cyst under the skin typically forms when a gland or hair follicle becomes blocked, creating a slow-growing sac filled with fluid or a keratin-like substance. Cysts are usually painless unless they become irritated or infected.

Why do I have a small hard lump under my skin?

A small hard lump can have several causes, including a firmer cyst, a swollen lymph node responding to a nearby infection, or scar tissue. A provider can examine the lump to determine its exact cause.

Can a hernia feel like a lump under the skin?

Yes. A hernia can create a bulge that may be mistaken for a cyst or lipoma, particularly in the abdomen or groin. An evaluation can help distinguish a hernia from other types of lumps.

Who evaluates lumps under the skin near Syracuse, NY?

Syracuse Hernia Center provides diagnosis and treatment of skin lesions and lumps for patients throughout the Syracuse, NY area, with appointments available online or by phone.