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Differential Diagnosis for a Growing Bump on the Knee

Single Most Likely Diagnosis

  • Osteochondroma: A common benign bone tumor that can grow near the growth plate, causing a bump on the knee. It can cause pain when pressed on and may grow in size over time, especially during childhood and adolescence.

Other Likely Diagnoses

  • Ganglion Cyst: A lump under the skin that occurs when fluid accumulates in a sac, often near a joint or tendon. It can cause pain when pressed on and may grow in size over time.
  • Bursitis: Inflammation of a fluid-filled sac (bursa) that cushions joints and reduces friction between bone and soft tissue. It can cause a painful bump on the knee.
  • Lipoma: A benign tumor composed of fat tissue that can grow under the skin, causing a bump. It can cause pain when pressed on, especially if it is large or located near a nerve.

Do Not Miss Diagnoses

  • Osteosarcoma: A rare but aggressive type of bone cancer that can cause a growing bump on the knee. It is essential to rule out this diagnosis, as it requires prompt treatment.
  • Infection (e.g., abscess or osteomyelitis): A bacterial or fungal infection that can cause a painful bump on the knee. It is crucial to diagnose and treat infections promptly to prevent serious complications.
  • Neurofibroma: A benign tumor that grows on nerve tissue, which can cause a bump on the knee. While usually not life-threatening, it can be associated with neurofibromatosis type 1, a genetic disorder that requires monitoring.

Rare Diagnoses

  • Synovial Chondromatosis: A rare condition where cartilage grows in the synovial membrane of a joint, causing a bump on the knee.
  • Hemangioma: A rare benign tumor composed of blood vessels that can grow under the skin, causing a bump on the knee.
  • Giant Cell Tumor: A rare, usually benign tumor that can grow on the bone, causing a bump on the knee. While often benign, it can be locally aggressive and requires monitoring.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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