Understanding Lumps and Bumps in the Hand and Wrist

Lumps and bumps can appear anywhere in the hand and wrist, and the vast majority are completely harmless. Many of these lumps are known as tumours—a term often associated with cancer. However, “tumour” simply comes from the Latin word for “swelling” and does not imply cancer.

What Types of Lumps and Bumps Appear Around the Hand and Wrist?

A variety of lumps and lesions can occur in the hand and wrist. They originate from different structures like bone, tendons, skin, or nerves.

How Do These Lumps Typically Progress?

Most lumps and bumps grow slowly over time and may eventually become bothersome or interfere with function.

Are Any Tests Needed?

Most lumps in the hand and wrist can be diagnosed through a clinical examination alone. In some cases, imaging tests like X-rays, ultrasound, or MRI may be recommended. If the diagnosis is uncertain, a biopsy may also be considered.

Treatment Options

For many hand and wrist lumps, observation alone is an option, accepting that the lump may gradually enlarge. If removal is preferred, surgical excision is possible and usually performed with local anaesthesia.

Can Cancer Develop in the Hand or Wrist?

Lumps often raise concerns about cancer, but cancer in the hand and wrist is very rare. When it does occur, it’s typically a form of skin cancer, such as basal cell carcinoma, squamous cell carcinoma, or melanoma. Other rare cancers include soft tissue or bone sarcomas, making up less than 1% of all adult cancers. In some uncommon cases, cancer from other parts of the body, such as the lung or breast, may spread to the hand or wrist.

If you notice a lump that is growing rapidly or becoming painful, it’s best to see a doctor to determine the appropriate next steps.