What should you know about scalp lump removal?

A clinician first feels the lump and examines the overlying skin. They may recommend imaging or a biopsy when the diagnosis is uncertain. A small lump may be removed through an incision while numbing the area; the tissue can then be sent for laboratory examination. The approach depends on whether the lump is in the skin, under the skin, or connected to deeper tissue.

You may have a dressing and a small wound closed with stitches. Healing can include tenderness, swelling, bruising, or a visible scar. Hair around the site may be trimmed, and aftercare may include keeping the area clean and following instructions about washing.

Tell the clinician about medicines, allergies, bleeding problems, and any previous reaction to local anaesthetic. Do not squeeze, pierce, or repeatedly pick at the lump. Arrange practical help if the dressing or location makes hair washing difficult. Follow the wound-care plan and attend any appointment arranged to discuss the laboratory result.

If the lump is changing, painful, repeatedly infected, or affecting sleep or daily activities, describe those changes clearly. A related procedure for tissue assessment is described under Breast Biopsy, while removal of a breast lump is covered by Breast Lump Excision.

Seek prompt medical advice for a lump that grows quickly, becomes very painful, opens or bleeds, produces pus, or is surrounded by spreading redness. After removal, contact the care team if bleeding does not settle with firm pressure, the wound edges separate, fever develops, or pain and swelling are worsening rather than easing.

What are the likely causes of this lump? Is imaging or a biopsy needed before removal? Which anaesthetic and wound closure will you use? How should I wash my hair afterwards, and when will the tissue result be available?