Lumps and bumps: types, causes and treatment

Written by: Dr Deirdre Buckley
Published: | Updated: 25/10/2023
Edited by: Robert Smith

It’s not unusual to encounter lumps and bumps on your skin at some point in your lifetime, but some are more dangerous than others.

We spoke to Dr Deirdre Buckley, a leading consultant dermatologist who is based in Bath, to find out when lumps are potentially dangerous and some of the treatment options available.

 

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What are considered to be lumps and bumps on the skin?

Lumps and bumps on the skin are raised areas which may be the same colour as the skin, or red, purple, blue, brown, black, white or yellow in colour. Some lumps may also have a portion under the skin, when the lump is often referred to as a ‘cyst’ or ‘nodule’.
 

What are the most common types?

The most common lumps on the skin are moles, dermatofibromas, skin tags, seborrhoeic keratoses, solar keratoses, sebaceous cysts, haemangiomas, pilar cysts, hypertrophic or keloid scars, and warts. All of these are harmless.
 

What are rarer types of bump on the skin?

Rarer bumps include neurofibromas, leiomyomas, connective tissue naevi, various types of birthmark and various skin cancers.
 

When should I see a dermatologist?

If your lump is painful, bleeding, changing colour or enlarging (especially if it is new) you should seek the advice of a dermatologist.
 

What are the possible treatment options?

The dermatology consultant will examine the lump, often using a dermatoscope, a special instrument which allows visualisation of structures under the skin and aids diagnosis. If it is harmless, the dermatologist will advise you that no treatment is needed, although some harmless lesions are removed because of persistent pain, bleeding, or because they are at a site easily traumatised, for example by underwear or clothing elastic.

If the lump needs further examination, a small sample (biopsy) may need to be carried out under local anaesthetic, or the whole lump removed, with stitches to close the wound, leaving a scar. The procedure is normally painless, as modern local anaesthetic is extremely effective.

If biopsy or removal is considered necessary, the procedure will be discussed with you and booked on a convenient date, so you can bring a friend or relative with you if you wish.

Remember that the vast majority of lumps and bumps on the skin are entirely harmless and once you have had your dermatology consultation, you can have peace of mind.
 

For any other questions you may have, you may like to book an e-Consultation or appointment with a top dermatologist such as Dr Deirdre Buckley, who will be able to offer more medical advice and adequate treatment if necessary.

Dr Deirdre Buckley

By Dr Deirdre Buckley
Dermatology

Dr Deirdre Buckley is a leading Bath Consultant Dermatologist who is experienced, fully accredited and internationally recognized. She treats a wide range of skin disorders, including acne, eczema, psoriasis, urticaria, moles and skin cancer, and has a particular interest in allergies. She has an extensive research background and is an internationally recognised expert and lecturer in the area of fragrance allergy.

Dr Buckley studied medicine at University College Cork (Ireland), qualifying in 1988. She trained in general practice in Cork which helped her to understand the complex effects of illnesses, including skin diseases, on patients and their families. She moved to Dublin and trained as Registrar in Dermatology at the City of Dublin Skin and Cancer Hospital, then at specialized skin cancer surgery units in Birmingham and London, and as Senior Registrar in Dermatology at University College Hospital, London. She received specialist training in contact dermatitis at the Department of Cutaneous Allergy, St Thomas' Hospital, London and in general allergy at Imperial College London.

Dr Buckley was appointed as an NHS Consultant Dermatologist in Swindon in 2001 and in Bath in 2010, caring for outpatients and inpatients with every type of skin disease. At Great Western Hospital NHS Trust, Swindon, she set up an integrated Type I Allergy (prick test) Clinic for people with suspected allergy. At the Royal United Hospital Bath NHS Trust in 2011, she ran a busy Type IV (patch test) Allergy Clinic. She mentors many trainees in dermatology, supporting research, presentation, and publication in medical journals.

Dr Buckley’s practice at CircleBath and the BMI Bath Clinic cares for patients with every type of skin condition including undiagnosed rashes, general dermatology, sun damage and skin cancer. In addition, she runs a specialist allergy and prick test service for patients with suspected allergy to latex, local anaesthetics, nuts and other foods, pets, pollen, dust and moulds, allergic rhinitis, allergic conjunctivitis, asthma, atopic eczema and anaphylaxis. She cares for a large number of patients with urticaria (hives). She runs a specialized patch test service for patients with allergic contact dermatitis and occupational skin disease.

Dr Buckley values personal interaction highly. She is regarded by peers as an approachable and conscientious doctor with very high standards.


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