Hand Surgery
Hand Lumps & Tumors
“Not every bump is bad news — sometimes, it’s just your hand asking for attention.”
Hand lumps are common and usually benign (non-cancerous). They can arise from the skin, tendons, joints, or soft tissues of the hand. While most hand lumps are harmless, some may cause pain, restricted movement, nerve compression, or cosmetic concern, making professional evaluation important. Identifying the type of lump helps guide the best treatment approach — from observation to minor surgical removal. Malignant (cancerous) lumps can also occur, but a very rare. Their treatment is usually surgical and can lead to hand deformity & loss of function.
Ganglion Cyst
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Description: The most common hand lump. A fluid-filled sac that develops near joints or tendon sheaths, often on the wrist or fingers.
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Features: Soft, round, and may change size; sometimes painful when pressed or with wrist movement.
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Treatment: Observation, aspiration, or surgical excision if recurrent or bothersome.
Giant Cell Tumor of Tendon Sheath (GCTTS)
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Description: A firm, slow-growing lump that develops from the tendon covering.
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Features: Usually painless but solid to touch; may limit finger movement.
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Treatment: Surgical removal; recurrence can occur in some cases.
Epidermoid (Sebaceous) Cyst
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Description: A small lump beneath the skin caused by trapped skin cells or blocked hair follicles.
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Features: Round, firm, and may have a tiny central punctum.
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Treatment: Simple excision; antibiotics if infected.
Hand Lipoma
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Description: A benign fatty growth beneath the skin.
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Features: Soft, movable, and painless.
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Treatment: Surgical removal if enlarging or cosmetically bothersome.
Dupuytren’s Nodule
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Description: A firm lump in the palm due to thickening of the fascia (connective tissue).
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Features: May progress to finger bending (Dupuytren’s contracture).
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Treatment: Observation, collagenase injection, or surgery if contracture develops.
Mucous Cyst
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Description: A small, jelly-like cyst near the fingernail, often linked to joint wear (arthritis).
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Features: May cause nail ridging or tenderness.
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Treatment: Excision and management of underlying joint changes.
Enchondroma
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Description: A benign bone tumor within the finger bone.
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Features: May cause swelling or thinning of the bone, sometimes detected after a fracture.
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Treatment: Curettage and bone grafting if symptomatic.
Inclusion or Foreign Body Granuloma
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Description: A lump caused by trapped material (like a splinter) triggering inflammation.
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Features: Firm and sometimes tender.
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Treatment: Minor surgical removal of the foreign material.
Glomus Tumor
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Description: A rare but painful benign tumor arising from the glomus body — a temperature-regulating structure found beneath the nail bed or fingertips.
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Features: Severe pinpoint pain, tenderness to touch, and sensitivity to cold are classic signs.
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Treatment: Microsurgical excision provides complete relief and excellent cosmetic results; recurrence is uncommon.
Book Consultation — Hand Lumps Treatment in Pakistan
Dr. Saud Majid is a plastic and cosmetic surgeon practicing since 2020, offering expert evaluation and treatment of hand lumps, with focus on accurate diagnosis, safe removal, and preservation of hand function.
For professional assessment and management:
Consultation includes:
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detailed hand examination.
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imaging review (if required).
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discussion of treatment options.
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recovery and outcome counseling.