question-icon

Suggest treatment for chronic urticaria and painless lump near collar bone

default
Posted on Tue, 24 Mar 2015
Question: Age 47, female, smoker, has chronic urticaria...
What could a hard painless immovable lump be at the joint where the collar bone and sternum meet?
doctor
Answered by Dr. BR Hudda (1 hour later)
Brief Answer:
Get an X ray chest and biopsy of the swelling

Detailed Answer:
Hello ma'am Greetings
I really appreciate your concern

your description suggests that swelling is arising either from sternoclvicular joint or clavicle bone
such swelling can be of multiple cause
1. Bony cyst
2. Rheumatoid nodule ( not a typical site)
3. Joint arthritis
4. Stress fracture
5. Spread of cancer from lung cancer

Please make a visit to doctor for an X ray chest and biopsy of the cyst along with complete blood profile

To help you better I would like to know if you are having history of chest pain, weight loss, or blood in sputum.

waiting for your response

I hope you will find my response relevant and helpful please fell free to ask for clarification
wishing you good health
Regards
Dr BR Hudda


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. BR Hudda (49 minutes later)
There is mild pain across back of shoulders & chest occassionally.
No weight loss or blood in sputum.
History of degenerative disc disease and chronic urticaria.
Which type of dr to see? GP or orthopedic?
doctor
Answered by Dr. BR Hudda (31 minutes later)
Brief Answer:
You should see an orthopaedician

Detailed Answer:
Hello ma'am
thank you so much for your reply

if there is no history of chronic cogh weight loss or blood in sputum then chances of lung cancer is very less

it could be due to degenerative changes in joint or a joint inflammation, you should see an orthopaedician for examination and an X ray

I hope this addresses your query please feel free to write back to us for further clarification i will gladly answer you

best wishes
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. BR Hudda (48 hours later)
An appt had to be scheduled with a family practioner.
What questions do you suggest i ask?
What information should i bring?
Can the FP do an xray and a biopsy?
doctor
Answered by Dr. BR Hudda (2 hours later)
Brief Answer:
An X ray or FNAC if it is soft cystic swelling

Detailed Answer:
Hello ma'am
thanks for replying us again

You can ask for an X ray and an FNAC if it is a soft cystic swelling

Take all the reports and medical documents along with you if you have visited any doctor in the past

you should ask about the further course of action and prognosis
Chances of such swellings at any other site of the body in future.
I think a family physician can only ask for a Xray and FNAC. They might not be able to perform it themselves.

Hope this addresses your question
thanks for using our services
best wishes

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
Dr.
Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 2994 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for chronic urticaria and painless lump near collar bone

Brief Answer: Get an X ray chest and biopsy of the swelling Detailed Answer: Hello ma'am Greetings I really appreciate your concern your description suggests that swelling is arising either from sternoclvicular joint or clavicle bone such swelling can be of multiple cause 1. Bony cyst 2. Rheumatoid nodule ( not a typical site) 3. Joint arthritis 4. Stress fracture 5. Spread of cancer from lung cancer Please make a visit to doctor for an X ray chest and biopsy of the cyst along with complete blood profile To help you better I would like to know if you are having history of chest pain, weight loss, or blood in sputum. waiting for your response I hope you will find my response relevant and helpful please fell free to ask for clarification wishing you good health Regards Dr BR Hudda