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Suggest Treatment For Painful Lump Near Rib Cage After Injury

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Posted on Tue, 28 Jul 2015
Question: I was kicked in in the area of my right rib cage (beneath my right breast) by a horse two years ago. I was ok and as far as I know no ribs were broken. However in the last year or so a moveable squishy lump has formed over the area where I was kicked in the shape of half a small cucumber. I get intermittent pain in the area as well. I have a lipoma in my right armpit which started about 4 years ago and has now doubled in size so I am guessing I am a candidate for lipomas. I am a 55 yo female of average weight and in pretty good health otherwise. I haven't been to a doctor cos I am scared he will tell me it's liver cancer as I do like to drink wine. I realise this is pretty pathetic ...
doctor
Answered by Dr. Mukund Savaskar (2 hours later)
Brief Answer:
Right Sub-mammary painful / post-traumatic lump? infected old hematoma

Detailed Answer:
Hi,Dear Good Evening.Thanks for your query to HCM.
I studied it in full details which are put forth by you and understood your concerns of it being Liver Cancer? as you are fond of wine.

-Dear There is a good news for you that Prima-facie -the tumor mostly is not a Liver Cancer.

In my opinion-you have 2 lumps-

1-one of the 2 lumps-is mostly a -Right sub-mammary squishy soft "-Resolving Chronic Hematoma" for the following reasons-
a-Its present since last 1 yr and has formed and has been located at the site of the horse-kick-2 years back.
b-That lump is movable and squishy and is painful intermittently.

2-There is another lump -in the right armpit-
a-Which is there for last 4 yrs
b-and which has been increasing fast lately and has doubled almost, indicating acute on Chronic-lymphadenitis in the armpit got lately infected.


But still I would advise and suggest to have ER Surgeons consultation.
I would advise and suggest you to ask for -a FNAC BIOPSY of -Both
a-Sub-mammary lump and
b-Armpit lumps- both these lumps though painful need to be ruled out for the possibility of Hidden Cancer Breast and Cancer armpit-in axillary tail of breast / or of the lymph nodes with metastasis in the armpit -that is Axilla.

This is badly needed, specially due to the Cancer Prone Age-of yours which is 55 yrs.
So I await for the HPR report of the Sub-mammary and armpit lumps.

Till then, I would suggest following Treatment-
a-Anti-inflammatory and painkiller drugs x 5 days
b-Antibiotic Cover x 5 days
c-USG guided FNAC-Fine Needle Aspiration Biopsy or the PET-Positron Emission Tomography- Scan guided 2- Lump Biopsy
-This would help you to resolve the worry attached with these lumps and the cancer worry you had.

Welcome for any further query to HCM in this regard.I would love to help you
till your satisfaction.
-Await your USG guided biopsy / Mammography / Pet scan reports -whatever is done by next query.
Revert with above info and Surgeons report along with it.
Good Night.
With Regards,
Dr.Savaskar M.N.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Painful Lump Near Rib Cage After Injury

Brief Answer: Right Sub-mammary painful / post-traumatic lump? infected old hematoma Detailed Answer: Hi,Dear Good Evening.Thanks for your query to HCM. I studied it in full details which are put forth by you and understood your concerns of it being Liver Cancer? as you are fond of wine. -Dear There is a good news for you that Prima-facie -the tumor mostly is not a Liver Cancer. In my opinion-you have 2 lumps- 1-one of the 2 lumps-is mostly a -Right sub-mammary squishy soft "-Resolving Chronic Hematoma" for the following reasons- a-Its present since last 1 yr and has formed and has been located at the site of the horse-kick-2 years back. b-That lump is movable and squishy and is painful intermittently. 2-There is another lump -in the right armpit- a-Which is there for last 4 yrs b-and which has been increasing fast lately and has doubled almost, indicating acute on Chronic-lymphadenitis in the armpit got lately infected. But still I would advise and suggest to have ER Surgeons consultation. I would advise and suggest you to ask for -a FNAC BIOPSY of -Both a-Sub-mammary lump and b-Armpit lumps- both these lumps though painful need to be ruled out for the possibility of Hidden Cancer Breast and Cancer armpit-in axillary tail of breast / or of the lymph nodes with metastasis in the armpit -that is Axilla. This is badly needed, specially due to the Cancer Prone Age-of yours which is 55 yrs. So I await for the HPR report of the Sub-mammary and armpit lumps. Till then, I would suggest following Treatment- a-Anti-inflammatory and painkiller drugs x 5 days b-Antibiotic Cover x 5 days c-USG guided FNAC-Fine Needle Aspiration Biopsy or the PET-Positron Emission Tomography- Scan guided 2- Lump Biopsy -This would help you to resolve the worry attached with these lumps and the cancer worry you had. Welcome for any further query to HCM in this regard.I would love to help you till your satisfaction. -Await your USG guided biopsy / Mammography / Pet scan reports -whatever is done by next query. Revert with above info and Surgeons report along with it. Good Night. With Regards, Dr.Savaskar M.N.