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Lump over the chest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hello,
I have a golf ball size hard spot right in the middle of my chest down where the rib cage meets. This hard lump was small and now I have recently noticed how big it has grown. I have no idea what this is. I have seen online about the xyphoid process lump but this lump has gotten bigger. A few years ago I was told I had a lump on my lymphnodes after a PET scan. 3 months later on the 2nd PET scan the lump was not found. I understand there are lymphnodes in this sternum area also. This lump is hard and it does not move around very easily. It's also very sore to touch and my rib cage and my stomach are very sore to where I don't want to eat which has caused weight loss this month. Is this normal for a lump to be in the chest/sternum area that gets bigger over time?
Doctor :   Hi,
User :   Hello
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
Doctor :   Any lump growing has to be considered seriously
Doctor :   Is the lump hard as bone or it is firm ?
User :   its firm almost like bomne
Doctor :   Do you mean hard like bone ?
Doctor :   Is it a bony mass ?
User :   yes hard, and its does not move easily
Doctor :   ok, when was the last PET scan done ?
User :   almost 2 years ago and I had gall bladder surgery last year and thought mabye that had something to do with it
Doctor :   May know your age and gender ?
User :   Sure I just turned 40 and female
Doctor :   Ok, Is the Lump anywhere merged with the breast or completely separated from it ?
User :   No it's not merged with the breast, but its large enough that it will soon be touching each breast. Its right at the base of my sternum in the middle.
Doctor :   Ok, Was is soft earlier ?
User :   It feels the same as it always has but it was never so big like it is now. It's much more noticable when I am lying down but can still be easily seen when standing.
Doctor :   Ok, the commonest lumps presenting like this would be a calcified lipoma
Doctor :   but its growth is hardly expected to be so fast
Doctor :   the other possibility could be a dermoid with degenerative calcification
Doctor :   the calcification will give it a hard consistency
Doctor :   i would ask you to get a biopsy or a FNAC of the lump , which can confirm the diagnosis with no doubts
Doctor :   and present the same to a surgeon
Doctor :   Matted lymph nodes can be a chance but they do brake out forming a sinus rather than present as a hard lump
User :   Ok. I have been through a lot of surgeries over the past 5-6 years and was trying to take a break:-) But I will have this checked. If it helps any I had cervical and lumbar fusion due to DDD in 2005-2006, Kidney stones, gallbadder, appendix, and several spouts with pnemonia and I just moved to a new state so I will find a doctor asap.
Doctor :   Yes,
Doctor :   Early the intervention less serious will be the issue
Doctor :   Also ask the surgeon to rule out the complicated incisional hernia as you has had been through many surgeries
User :   Well thank you for your help and yes I will as about the hernia also. Being in the home health field myself I had just never heard of anyone complain of a lump in this area.
Doctor :   you are welcome , kindly provide your feedback
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