What is Hand lumps?

Hand lumps are a common result of a variety of conditions including benign skin conditions, skin cancer, benign hand conditions such as neuromas, giant cell tumours, Dupuytrens disease, De Quervain’s disease and on occasion other problems such as arthritis and vascular anomalies. They can be painful or painless and may or may not affect function.

What are the non-surgical and surgical options available?

This is entirely dependent on the diagnosis which may require investigation using an x-ray, ultrasound, MRI or biopsy.

How long do the results last for?

For benign hand lumps, no surgery is absolutely necessary, although surgical removal, if requested is often permanent. For cancers of the hand, surgical removal and laboratory examination determine any additional treatment necessary and identify the chance of recurrence. For all other conditions, follow links above.

What are the risks?

Surgical removal leaves scars on the hand, but these usually heal very well. The swellings/lumps often wrap around the nerves and arteries in the hand and these can be bruised temporarily or in very rare cases, their function permanently disrupted. Like with all other surgery, bleeding is a theoretical risk. Tender scar tissue occasionally takes a few months to settle down with massage. The condition, depending on diagnosis, rarely recurs.

What are the success rates?

This is determined by the diagnosis.

How much does the surgery cost?

The indicative prices below include the surgical fee, any anaesthetic used and the associated fees from the consultant administering this, in addition to the hospital fee and all tests and follow up. An accurate breakdown and a detailed quote will be given following the initial consultation.

From £1800 for lump removal under local anaesthetic

From £3,500 for lump removal under general anaesthetic

What general advice is there?

Following any surgery on the hand, swelling and discomfort is inevitable. Elevation of the affected arm and non-steroidal anti-inflammatory medication helps. Early immobilisation for 48 hours helps recovery but must be followed by appropriately gauged mobilisation. Simple pain relief (paracetamol and/or ibuprofen) taken one hour before hand therapy rehabilitation allows more exercises to be undertaken. Desensitisation with moisturiser and massage helps scars to soften and become less painful.