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I had one on the inner forearm that got to be about half a golf ball size under the skin. When it started aching I was directed by PCP to a hand surgeon (apparently they do forearms too.) An MRI was done to see how the tumor was situated relative to nerves and blood vessels. Surgery was done...

Check with spa dealer re draining. There are seals in some models that will dry out and warp when the spa is drained. Expensive to fix.