Hello, this is Dr. David. I have read your question and am ready to help.
it is most likely an enlarged reactive lymph node.
the enlarged lump itself could be a lymph node itself.
it could be a fluid filled cyst. the ultrasound can tell this as well.
I have had a lipoma before, but this is rock hard and what would make it become enlarged and not hurt or even be immobile. I don't know it is there unless I touch it. It is surrounded by a few lymph nodes that is in the ultrasound report, but it calls it a lipoma, and now I can even palpate lymph nodes that are beside it. The ultrasound radiologist referred for me to get a CT scan, and my primary care sent me to surgeon.
so the ultrasound thought it was a lipoma.
most lipomas are soft.
it sounds like you need a biopsy of the lump to know for sure what is in there.
It is too hard for a lymph node and not like the ones I usally think are lymph nodes. I have a family history of lymphoma and another family member with something that makes her have increased everything on a blood smear. I forget the name. I had been having headaches, but they just stopped on their own.
What would you guesstimate it would be? It could be a liposarcoma that would explain the lympn nodes but even some kind of infection or a lymph node with something that metastasized. It could be an infection. Who knows, but I have just turned 50, and I am not in the right age group for certain things.
guessing would not due you any good.
It seems that the radiologist is confused about it but the doctor said lymph node to me. It would be very atypical. I have had lumpectomies in the past, and 1 was for a lipoma on my shoulder and the other one was thought to be a lipoma but turned out tobe a lymph node that was more or less evaluated as a specimen with lymph node characteristics.
hard and fixed in the supraclav makes me a bit more worried about it.
usually benign nodes are soft and movable.
I'm not quite sure what your doctors are thinking what the lump is.
but it sounds like you need an ultrasound guided biopsy of the supraclav mass to know for sure.
Thanks. You were a great help Dr. David. I will let the surgeon know that I would like it to be biopsied before anything else. I have not much of an appetite and feel like I am losing weight, but I don't want my family to know. Have a great day.