Hello, 
Thanks for the query to H.C.M. Forum. 
Since you mentioned that there is lump just above the 
patella ( knee cap ) , so it is very difficult to understand , where is it. 
In my opinion this may be at the lower end of 
femur so may be , 
1 
osteochondroma , diagnosis can be confirmed by X ray and c t scan . 
Biopsy is also an important diagnostic tool on the basis of clinical and radiological appearance . This type of tumor is usually benign in nature if not from long time.
2 Aneurysmal 
bone cysts , diagnosis can be confirmed by clinical as well physical examination by an orthopedic surgeon. 
3 Malignant tumor of bone , diagnosis on the basis of Xray , C T scan, physical , clinical examination by an orthopedic doctor. 
In my opinion at once consult an orthopedic surgeon and get his opinion and treatment . 
Good luck. 
Dr. HET