[29F] With leg lump and neurofibromatosis

Patient Description

A 29-year-old female presents with a lump on her leg, persisting for approximately two months. The lump is described as both hard and soft, mobile under the skin, and has not changed in size. There is no associated pain, redness, warmth, numbness, or tingling. The patient has a history of neurofibromatosis, diagnosed at the age of two. There is no family history of similar lumps or skin conditions. The patient reports no allergies, is not taking any medications or supplements, and has not recently stopped any medications. Additionally, she has not used any topical treatments or received any injections or vaccines recently.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Neurofibroma: Given your history of neurofibromatosis, the lump could be a neurofibroma, which is a benign nerve sheath tumor. These are common in individuals with neurofibromatosis and can vary in texture and mobility.

    • Typical Treatment: Monitoring is often recommended unless the lump causes discomfort or other symptoms. Surgical removal might be considered if necessary.
  • Lipoma: A lipoma is a benign fatty tumor that is usually soft and mobile. However, it can sometimes feel firm if it has fibrous tissue.

    • Typical Treatment: Lipomas are generally harmless and only require removal if they cause discomfort or cosmetic concerns.
  • Cyst: A cyst is a fluid-filled sac that can feel firm or soft. They are usually benign and can occur anywhere on the body.

    • Typical Treatment: Cysts may resolve on their own, but if they become painful or infected, drainage or removal might be needed.

What you can do

  • Monitor the Lump: Keep an eye on any changes in size, texture, or symptoms. Note any new symptoms that arise.
  • Consult a Healthcare Provider: It's important to have a healthcare professional evaluate the lump, especially given your history of neurofibromatosis.
  • Use MDandMe: Consider using MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • The lump changes in size or becomes painful.
    • You notice any new symptoms like numbness or tingling.
    • You experience any other concerning symptoms.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

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People Also Ask


What is neurofibromatosis and how does it relate to lumps on the body?

Neurofibromatosis is a genetic disorder that causes tumors to form on nerve tissue. These tumors, called neurofibromas, are usually benign and can appear as lumps under the skin. Individuals with neurofibromatosis may develop multiple neurofibromas over time.


What are the typical characteristics of a lipoma?

A lipoma is a benign tumor made of fatty tissue. It is typically soft, mobile, and painless. Lipomas are usually harmless and do not require treatment unless they cause discomfort or cosmetic concerns.


How can you differentiate between a cyst and other types of lumps?

A cyst is a fluid-filled sac that can feel firm or soft and is usually benign. Unlike other lumps, cysts may fluctuate in size and can sometimes become painful or infected. A healthcare provider can help differentiate a cyst from other types of lumps through examination and imaging if necessary.


When should you seek medical attention for a lump on your body?

You should seek medical attention for a lump if it changes in size, becomes painful, or if you notice new symptoms such as numbness or tingling. Additionally, if you have a history of conditions like neurofibromatosis, it's important to have any new lumps evaluated by a healthcare professional.


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