Lumps

Lumps in the hand and wrist are very common but fortunately they are mostly benign and treatable. A simple question can give an indication of the nature of the lump:

Does the lump fluctuate and change in size?

  • Yes - this is most likely to be a ganglion cyst
  • No - this indicates the lump is more likely to be solid

Typical common solid benign lumps seen in the hand and wrist are:

  • Giant cell tumour of tendon sheath: (also known a PVNS - pigmented vilonodular synovitis). This is one of the commonest solid lumps in the fingers. It can be removed and usually does not cause any further problems.
  • Lipoma: This is a benign fatty lump. It is very common on the abdomen, legs and forearms, but it can occur in the hand.
  • Vascular tumours: There are a number of lumps found in the hand which are derived from the blood vessels. These may have a bluish colour to them.
  • Nerve tumours: These are not common and may be associate with nerve symptoms such as tingling or numbness.

Whilst most solid lumps are benign an assessment by your surgeon is recommended.