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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For The Lump Under The Skin Near Chest

I have a lump between my lungs at skin level it is not painful however i never noticed it before right at my sternum .I am 64 years old and in pretty good health have been very tired as of late and have a lot of mucus build up. I am concerned as i have had some dificulty breathing at night and have had night sweats of and on just wondering if it is normal feels like about 4 in long
Wed, 4 Mar 2015
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Pathologist and Microbiologist 's  Response
Hi! welcome to HCM and thanks for sharing your recent health problem with us!

Well, if I were your family physician or the treating doctor for this case of painless sternal area soft tissue lump with tiredness, mucus, difficulty breathing at night and have had night sweats of and on, I would like to examine it first carefully and then plan the treatment according to the report of a fine needle biopsy; In such cases, the possibilities are:

1. benign lesions like lipoma, neurofibroma, dermatofibroma or benign cyst: 25% possibility

2. inflammatory or infective pathology like lymph nodes, tuberculosis or an abscess 35% possibility

3. neoplastic or malignant pathology like cancer, lymphoma, plasmacytoma or metastatic cancer etc. 40% possibility

Therefore, it is very urgent to see your doctor ASAP for some investigations and then discuss the line of management accordingly!

regards!
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Suggest Treatment For The Lump Under The Skin Near Chest

Hi! welcome to HCM and thanks for sharing your recent health problem with us! Well, if I were your family physician or the treating doctor for this case of painless sternal area soft tissue lump with tiredness, mucus, difficulty breathing at night and have had night sweats of and on, I would like to examine it first carefully and then plan the treatment according to the report of a fine needle biopsy; In such cases, the possibilities are: 1. benign lesions like lipoma, neurofibroma, dermatofibroma or benign cyst: 25% possibility 2. inflammatory or infective pathology like lymph nodes, tuberculosis or an abscess 35% possibility 3. neoplastic or malignant pathology like cancer, lymphoma, plasmacytoma or metastatic cancer etc. 40% possibility Therefore, it is very urgent to see your doctor ASAP for some investigations and then discuss the line of management accordingly! regards!