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Dermatofibroma or Skin Cancer? Those Firm Little Lumps Explained

Dermatofibromas are harmless firm nodules — but a few spots can look similar. How to tell.

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Written & reviewed by Dr Rupinder Singh Walia — MBBS, FRACGP, Dip. Dermatology (Cardiff, UK) · AHPRA MED0001647256 · special interest in skin cancer medicine & dermoscopy
The signs that mean “get it checked”
New
a new, unusual spot
Changing
size, shape or colour
Growing
getting bigger
Bleeding
or crusting, or itching
Won’t heal
a sore that keeps returning
Any one of these is worth a doctor’s eye — skin cancer is often painless early on.

Dermatofibromas are harmless firm nodules in the skin — small, often brownish, and most common on the legs and arms, frequently after a minor injury or insect bite. They are not cancer. Knowing them is useful so you can tell them from a lump that does need a doctor’s eye.

Dermatofibroma: A firm, dome-shaped nodule (dimples inward when pinched)DermatofibromaA firm, dome-shaped nodule (dimples inward when pinched)
Clinical image · dermatology atlas via the Fitzpatrick 17k dataset, used for education. Example only — appearances vary; see a doctor for any concerning spot.

What a dermatofibroma looks like

When to have a lump checked

Have a firm lump reviewed if it is growing quickly, changing colour, bleeding, ulcerating, or looks different from a typical dermatofibroma. Get your spot reviewed — $49. See also is it skin cancer or something else?

Not a diagnosis; cannot rule cancer in or out.

Worried about a mole, mark or changing skin area?

Most skin-cancer advice tells you to watch for change. Skin360AI helps you keep photos of one or more spots connected over time. A spot can be a mole, freckle, mark, lump, sore, patch or any skin area you want to watch. It is not a diagnosis and cannot rule skin cancer in or out.

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If a lesion is new, changing, bleeding, non-healing or worrying you, arrange an in-person GP or skin-cancer clinic assessment.

Related guides

Skin cancer: types & signs →Basal cell carcinoma (BCC) →What melanoma looks like →Nodular & amelanotic melanoma →Lentigo maligna (sun-spot melanoma) →Squamous cell carcinoma (SCC) →Is my mole skin cancer? →A$49 online mole photo review →What does skin cancer look like? →How much is a skin check? →Free AI skin check online →Skin360AI photo follow-up →

Check and watch the spots you care about over time

Use the free AI-assisted skin check to save photos of moles, marks, lumps, sores, patches or other skin areas you want to watch. A photo record is not a diagnosis or a cancer all-clear.

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A structured photo record is not a diagnosis, cannot exclude skin cancer and does not replace an in-person examination.
Medically reviewed by Dr Rupinder Singh Walia (MBBS, FRACGP, Diploma in Dermatology — Cardiff University, UK; AHPRA MED0001647256). Last reviewed August 2026. This information is general and is not a diagnosis; it cannot rule skin cancer in or out. See your GP or a skin-cancer clinic in person for anything that concerns you.
From the author. This guide reflects the approach in Dr Walia’s book, The Skin Cancer Guide Your Doctor Wants You to Read — a plain-language guide to catching skin cancer early.
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