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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Painful Lump On Ribcage, Painful Stomach, Bruised Area Around The Lump Suggest?

I have a lump on my left ribcage. It is painful. Ultrasound technician says its a lipoma. I am hesitant to have it removed because it is painful and my upper stomach area is also painful and it feels like there is something there connected to the lump on my rib. I don t want the doctors just cutting to get the lump out without knowing if it is attached to something. I really want an MRI. Am I being unreasonable? The area above the lump is bruised also, it has been like that for at least three months. The lump showed up last April, also bruised and the bruise was gone for about two months but came back. What should I do?
Sat, 12 Apr 2014
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General Surgeon 's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

The best way is to go to a general surgeon to get yourself examined clinically and take his advise on the investigation needed to confirm your diagnosis. Usually lipoma is easily diagnosed clinically, and at best by a FNAC (fine needle aspiration cytology). Whether it has got any internal connection or not could be decided by the clinical examination and ultrasound as well. However, in case you are too much apprehensive about this issue, you can consult with the surgeon at the time of clinical assessment on the need for MRI for a lipoma.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.




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What Could Painful Lump On Ribcage, Painful Stomach, Bruised Area Around The Lump Suggest?

Hi ! Good morning. I am Dr Shareef answering your query. The best way is to go to a general surgeon to get yourself examined clinically and take his advise on the investigation needed to confirm your diagnosis. Usually lipoma is easily diagnosed clinically, and at best by a FNAC (fine needle aspiration cytology). Whether it has got any internal connection or not could be decided by the clinical examination and ultrasound as well. However, in case you are too much apprehensive about this issue, you can consult with the surgeon at the time of clinical assessment on the need for MRI for a lipoma. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.