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Differential Diagnosis for Skin Lump over Tarsal Bone

Single Most Likely Diagnosis

  • Ganglion cyst: This is the most common lump found over the tarsal bones, often presenting as a firm, painless, and movable mass. It arises from the joint or tendon sheath and is filled with a gelatinous fluid.

Other Likely Diagnoses

  • Bursitis: Inflammation of a bursa, which can occur over the tarsal bones due to repetitive friction or trauma, leading to a swollen and painful lump.
  • Lipoma: A benign tumor composed of fat tissue, which can occur anywhere, including over the tarsal bones, typically presenting as a soft, movable, and painless lump.
  • Sebaceous cyst: A benign cyst filled with sebum, which can occur on the skin over the tarsal bones, often presenting as a firm, painless, and movable lump.

Do Not Miss Diagnoses

  • Osteochondroma: A type of benign bone tumor that can occur near the growth plate of the tarsal bones, potentially causing a lump. Although rare, it's crucial to diagnose to rule out malignancy and to address potential complications.
  • Sarcoma (e.g., synovial sarcoma): A rare but malignant tumor that can present as a lump over the tarsal bones. Early diagnosis is critical for effective treatment and prognosis.
  • Infection (e.g., abscess or osteomyelitis): An infectious process that can cause a lump over the tarsal bones, accompanied by signs of infection such as redness, warmth, and pain. Prompt diagnosis and treatment are necessary to prevent serious complications.

Rare Diagnoses

  • Giant cell tumor: A rare, benign but locally aggressive tumor that can occur in the tarsal bones, presenting as a lump.
  • Chondroma: A rare, benign tumor of cartilage that can occur within the bones of the foot, including the tarsal bones, potentially causing a lump.
  • Foreign body reaction: A rare cause of a lump over the tarsal bones, resulting from the body's reaction to a foreign object embedded in the skin or soft tissue.

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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