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What is a lump that looks like a lipoma above the clavicle

 
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  • Answered by:Dr. David
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Customer Question

What is a lump that looks like a lipoma above the clavicle that has enlarged lympn nodes around it?

 

Optional Information:
Person's Gender: Female
Person's Age: 50

Already Tried:
had an ultrasound and blood work. The ultrasound made it sound like i had quite a few enlarged lympn nodes around it. The blood work hasn't come bacl uet

Submitted: 390 days and 1 hours ago.
Category: Oncology
Value: $30
Status: CLOSED

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Expert:  Dr. David replied 390 days and 1 hours ago.


Dr. David :

Hello, this is Dr. David. I have read your question and am ready to help.

Dr. David :

it is most likely an enlarged reactive lymph node.

Dr. David :

the enlarged lump itself could be a lymph node itself.

Dr. David :

it could be a fluid filled cyst. the ultrasound can tell this as well.

Customer :

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.

Dr. David :

so the ultrasound thought it was a lipoma.

Dr. David :

most lipomas are soft.

Dr. David :

it sounds like you need a biopsy of the lump to know for sure what is in there.

Customer :

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.

Customer :

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.

Dr. David :

guessing would not due you any good.

Customer :

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.

Dr. David :

hard and fixed in the supraclav makes me a bit more worried about it.

Dr. David :

usually benign nodes are soft and movable.

Dr. David :

I'm not quite sure what your doctors are thinking what the lump is.

Dr. David :

but it sounds like you need an ultrasound guided biopsy of the supraclav mass to know for sure.

Customer :

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.

Expert TypeDoctor (MD)
Category: Oncology
Pos. Feedback: 98.8 %
Accepts: 4407
Answered: 4/21/2012

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