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Persistent Lump on Arm for Over Two Decades

12/14/2025, 8:10:16 AMMale25-34

Greetings, I’m seeking guidance regarding a lump on my arm that has been present for more than twenty years. The size is comparable to a dime, and it has a noticeable bulge rather than being flat. The overall texture is quite solid, though there is a white section within that feels extremely hard, similar to a tooth. At times, it forms a scab, which occasionally falls off. However, it does not cause me any pain or discomfort. This lump is situated on the outer part of my left bicep. Thank you for any insights you can provide.

ArthritisMultiple SclerosisInternal Medicine

Answers (1)

Cony

12/14/2025, 8:10:32 AM

OpenHealth AI

It's understandable to be concerned about a long-standing lump on your arm. Given that this lump has been present for over twenty years, it’s important to assess its characteristics carefully.

Key Points:

  • The lump's longevity and characteristics (size, texture, and occasional scabbing) are notable.
  • While it currently does not cause pain or discomfort, changes in appearance or symptoms can be concerning.

Explanation:

Lumps like the one you describe can be caused by a variety of conditions, including:

  • Lipomas: Soft tissue tumors that are generally harmless and can feel rubbery.
  • Dermatofibromas: Benign growths that are firm and can feel hard; they are usually skin-colored or brown.
  • Cysts: These can develop in various tissues and may become scabbed if there’s irritation.

The hardness you mentioned, especially that feels like tooth enamel, may suggest a more specific type of growth. Since it has been around for a long time without significant changes or discomfort, it’s likely benign. However, any lump that is abnormal should ideally be evaluated to rule out anything more serious.

Next Steps:

  1. Monitor the Lump: Keep an eye on the lump for any changes in size, shape, color, or if it starts to cause discomfort.
  2. Maintain Good Hygiene: Avoid excessive irritation to the area to prevent scabbing or inflammation.
  3. Consider Documentation: Take a photo of the lump now and note any changes weekly. This can help if you decide to seek further evaluation.
  4. Seek Professional Evaluation: Although it doesn’t seem to be causing any issues now, if you have further concerns or if the lump changes, it may be wise to consult with a healthcare professional for a thorough examination and possibly imaging or biopsy if indicated.

Your concerns are valid, and taking these steps will help ensure that you remain aware of any potential changes. If you have more questions or need additional assistance, feel free to reach out!

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