I have this small lump inside my right nostril, under the skin. It's located right at the front at the base of the nose It's sometimes is larger and sometimes smaller. Usually smaller in the morning and gets bigger throughout the day. It doesn't hurt and no discharge of any kind, you can press down on it and there isn't any pain. I've had it for about 3 months now. It first started as a very small pea size and not visible, but when you push down on the inside of my nose, you can feel the small hard lump. After about 3 weeks, it got bigger and I feel pressure like a balloon inflating. The pressure was pressing down on a nerve and my teeth started to ache a little. My PCP gave me a Zpack for 5 days and told me to use a warm compress. That helped and reduced the swelling back down to smaller than a pea size. 3 weeks after the zpack, the lump grew bigger again. Still no discharge, and no pain, but I can feel pressure and some times a occasional tingling or burning that last for a 1 second. If you feel underneath my top lip where my gums and nose meet, you can feel the lump. When I smile, you can make out the shape of the lump and I have an uneven smile. I went to an ENT, the examined my nose and didn't see anything. So I asked my doctor press down on my right nostril and he felt the lump. He asked me to get a CT scan of my sinus.
My PCP told me to take a Claritin or Allegra and a Pepcid or Zantac. I tried that for a week and didn't help. When the pressure gets to be painful, I use a warm pack on my nose and it seems to help relieve the pressure pain.
I went and got a CT of the sinus and it came back negative. My ENT said he's never seen this before and is atypical so is referring me to a Nose specialist, but they can't see me for another 6 weeks. Mean while, I just started on Amoxicillian and Clavulanate treatment for 7 days.
Could this be a skin problem vs a nose problem or possibly a dental problem?
It sounds like it is not an infection, as you have had a course of a very good antibiotic (azithromycin), which would usually have taken care of a localized infection.
The fact that it has very little pain is actually a very good sign, as most malignancies are painful.
Actually, what it sounds like is an epidermal inclusion cyst (EIC). These cysts are very common. What they are, is a cyst of the usual skin secretions. What happens is, that for some reason, a few epidermal cells get pushed down below the skin surface. But, they continue to make their usual oils and other secretions. So, the oils, etc have nowhere to go, so a cyst is formed, containing these secretions.
These cysts can vary from very hard to actually water balloon feeling, sort of firm but mushy. They can decrease in size if the body resorbs some of the oils, then can enlarge, if the secretions increase.
Usually, if the cyst is in a location that is continually bumped or pressed upon, or if it bothers the patient, it is usually surgically excised. These cysts are very common in the palm of the hand, around the scalp, and in the axilla (armpit).
If the cyst was not very large when the CT scan was done, it could have very easily not shown up on the scan. An MRI would probably have been a better imaging study, as it looks at soft tissues better than the CT scan. The CT scan actually uses x-rays, so it is not as good at looking at soft tissues as the MRI (which uses a super coiled magnet).
But, you may have to have an excisional biopsy to find out what this is exactly. It sounds like it is in a fairly accessible location, and in a place that the scar could be hidden in the folds around the nostrils.
Hope it turns out to be something benign and easily treated. Good luck.
Thank you for the advice and info. I was thinking of asking my ENT doctor for an MRI. The lump is now about the size of a penny. It definitely has gotten larger the last month and sometimes annoying and uncomfortable due to the pressure. I hate to have surgery on my face, but I rather live with a small scar than the pressure pain. I was really worried that it might be cancer.
hello, i am only 13 comming up for 14 this year, i have had this lump on the side of my nose for quite some time and its under the skin, its hard and feels weird to touch, i never thaught about it untill somone noticed it and thaught it could be a cancerous lump