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Suggest Treatment For Multiple Lumps In Upper Thigh

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Posted on Tue, 29 Sep 2015
Question: I am a 48 year old breast cancer survivor(8 years) I have felt multiple lumps in my upper thighs when I exercise for many months. One of the lumps seems to be on a nerve on my upper right thigh. I am very nervous about getting things":checked out" because of my medical history. I believe these lumps are lipomas because if I had so many tumors that were cancerous I do not think I would be able to exercise so frequently and jog 3 miles a day with no pain/discomfort. My blood work in May was all normal and I have n symptoms that the cancer has returned however I am not sure what the typical symptoms are for bone cancer which is an area of recurrence in breast cancer patients. Any info. you could provide would be appreciated.

XXXXXXX XXXX
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Multiple upper thigh LIPOMAS?under Investigation

Detailed Answer:
Provisional Impression-Multiple upper thigh LIPOMAS?under Investigation
-No Chance of upper thigh multiple lump being Mets from the Breast Cancer.

Hi,Thanks for the query to HCM Virtual Clinic.
I studied your query in all the details put forth from you.
I also reviewed it with your other queries to other HCM doctors.
More Information is needed to help you out-
I would suggest you to update the photograph of the part of the multiple lumps in both the upper thighs,which could resolve the issue of it being lipoma.
My Opinion about your Upper Thigh Multiple Lumps-
By the description given from your query,these multiple lumps have never been examined or inspected by any of your doctors to whom you consulted till this time.

There is no chance of you getting Metastasis from your Breast Cancer for the following reasons-
a-As your May blood work is all normal and you don't have any symptoms of breast cancer recurrence.
b-That you are without any mets for last 8 yrs after breast cancer treatment.
c-That the lump in upper thighs are XXXXXXX and these lumps are without any complaints with them.
My Suggestions for early recovery from this Anxiety-
-You have to put faith in the opinion from the expert doctors with whom you consulted.
-Chance of your thigh lumps being Cancer metastasis from breast cancer are very less,as these are without any complications of increase in size,any pressure complications on surrounding tissues etc.
As you are obsessed with the Cancer metastasis,you being a known breast cancer case for last 8 yrs,this is causing lot of anxiety and mental stress to you.

Plan of Investigation in your case-
Only way out from this puzzle is -
-Update the photographs of the upper thigh where these lumps are located, for inspection study and opinion from any Surgeon / or Oncologist.
-I would suggest FNAC Biopsy of one of these lumps ,which is bothering you more,from Surgeon / OncoSurgeon.
-Histopathological studies would rule out the fear of metastasis from old breast cancer in your case.
-PET/CT Scan study of these multiple lumps would fix this puzzle.

Regarding few other queries from YOU, My replies are as follows-
-Commonest Bone Site for metastasis from Breast Cancer is -Spine and sternum(central breastbone),ribs.Spine and sternum are most common sites for Mets from Breast cancer.
-Symptoms of the Bone metastasis-Commonest symptom is Bony Pain in the spine or for that matter any bone like pelvic bones,skull,limb bones.
-2nd common Symptom- is( Pathological)bone fractures of the weight bearing bones ,which may occur with prior bony pain.
I would not confuse and increase your anxiety with more list of symptoms.
This is only for your education and assurance,that your lumps don't cause these symptoms and hence they are not Metastasis from old breast Cancer.

Hope this explanation would cool you down and would relieve your anxiety.

Awaiting the updates of photograph of the multiple upper thigh lumps,from you.

I would do my best to help you out from this obsession and fear psychosis,which is causing great anxiety and stress to you.

With Regards,
Dr.Savaskar M.N.
M.S.Genl-CVTS, XXXXXXX Surgical Specialist
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Multiple Lumps In Upper Thigh

Brief Answer: Multiple upper thigh LIPOMAS?under Investigation Detailed Answer: Provisional Impression-Multiple upper thigh LIPOMAS?under Investigation -No Chance of upper thigh multiple lump being Mets from the Breast Cancer. Hi,Thanks for the query to HCM Virtual Clinic. I studied your query in all the details put forth from you. I also reviewed it with your other queries to other HCM doctors. More Information is needed to help you out- I would suggest you to update the photograph of the part of the multiple lumps in both the upper thighs,which could resolve the issue of it being lipoma. My Opinion about your Upper Thigh Multiple Lumps- By the description given from your query,these multiple lumps have never been examined or inspected by any of your doctors to whom you consulted till this time. There is no chance of you getting Metastasis from your Breast Cancer for the following reasons- a-As your May blood work is all normal and you don't have any symptoms of breast cancer recurrence. b-That you are without any mets for last 8 yrs after breast cancer treatment. c-That the lump in upper thighs are XXXXXXX and these lumps are without any complaints with them. My Suggestions for early recovery from this Anxiety- -You have to put faith in the opinion from the expert doctors with whom you consulted. -Chance of your thigh lumps being Cancer metastasis from breast cancer are very less,as these are without any complications of increase in size,any pressure complications on surrounding tissues etc. As you are obsessed with the Cancer metastasis,you being a known breast cancer case for last 8 yrs,this is causing lot of anxiety and mental stress to you. Plan of Investigation in your case- Only way out from this puzzle is - -Update the photographs of the upper thigh where these lumps are located, for inspection study and opinion from any Surgeon / or Oncologist. -I would suggest FNAC Biopsy of one of these lumps ,which is bothering you more,from Surgeon / OncoSurgeon. -Histopathological studies would rule out the fear of metastasis from old breast cancer in your case. -PET/CT Scan study of these multiple lumps would fix this puzzle. Regarding few other queries from YOU, My replies are as follows- -Commonest Bone Site for metastasis from Breast Cancer is -Spine and sternum(central breastbone),ribs.Spine and sternum are most common sites for Mets from Breast cancer. -Symptoms of the Bone metastasis-Commonest symptom is Bony Pain in the spine or for that matter any bone like pelvic bones,skull,limb bones. -2nd common Symptom- is( Pathological)bone fractures of the weight bearing bones ,which may occur with prior bony pain. I would not confuse and increase your anxiety with more list of symptoms. This is only for your education and assurance,that your lumps don't cause these symptoms and hence they are not Metastasis from old breast Cancer. Hope this explanation would cool you down and would relieve your anxiety. Awaiting the updates of photograph of the multiple upper thigh lumps,from you. I would do my best to help you out from this obsession and fear psychosis,which is causing great anxiety and stress to you. With Regards, Dr.Savaskar M.N. M.S.Genl-CVTS, XXXXXXX Surgical Specialist