Subcutaneous lump in chest.: Four weeks ago I... - PMRGCAuk

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Subcutaneous lump in chest.

cycli profile image
53 Replies

Four weeks ago I noticed a red patch on the skin about 25mm dia. and itching. There was a lump the same size. I thought it might be a boil or some such so I did nothing. Two weeks later the red patch was the same but the lump was now about 90mm dia. Not painful. Was due for a urinary scan that weekend at the hospital so when done with that I went to A&E for an opinion. Dr. thought it might be a haematoma and advised an urgent scan. He said I had to go through my GP. H would send a report. This was Easter Saturday. Went to surgery on the Tuesday and they hadn't received report. Arranged an appointment with Dr. for the following Wednesday, the earliest they could manage. Said it was urgent but heard nothing so chased on Friday. Turns out they received the report Wednesday but it took me to chase for them to find it. Had a call that afternoon with an appointment for Monday and when I went in the Dr. was concerned and said she would fix an urgent scan. I heard that same afternoon that they could fit me in at the breast clinic this coming Monday. It is quite firm and doesn't move around. The Dr didn't think it was a Haematoma. They will probably do a biopsy at the same time. Has anyone else had similar?

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cycli profile image
cycli
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53 Replies
SnazzyD profile image
SnazzyD

I’ve had a breast clinic experience where they did a one stop shop diagnostic appointment with an escalating process starting with manual examination. One tends to have a pretty good idea of their thinking when you leave. They will be concerned that the lump is non-mobile which tends to rule out (but not conclusively) subcutaneous bits and bobs like cysts. It also appears to be not slow growing which is still not necessarily definitively bad news but another reason that they don’t want to hang about guessing . Such is the nature of lumps, one person’s lump is not someone else’s and all one can do is wait until someone qualified gets the measure of yours. Roll on Monday.

cycli profile image
cycli in reply toSnazzyD

Cheers Snazzy. Precisely my thinking. I'd rather know what it is and hope there's a solution. Just one more thing eh?

SnazzyD profile image
SnazzyD in reply tocycli

Yup

Frewen1 profile image
Frewen1 in reply tocycli

Very best luck for an optimistic outcome

SheffieldJane profile image
SheffieldJane

Wishing you a good outcome. Let us know. X

powerwalk profile image
powerwalk

Good luck. Let us know how you get on.

Bcol profile image
Bcol

Morning Cycli, if its not one thing it's another. Hope all goes well Monday and that you get some answered as soon as possible,

krillemy profile image
krillemy

Could be a Tic bite. My husband have had severel on his chest that was similar to what you describe. They are out and about starting at 7 degrees celcius in spring. They can cause an infection or an autoimmune respose that resembles what you describe. Good luck :)

cycli profile image
cycli in reply tokrillemy

don't think so Krillemy but thanks for the thought

Stills profile image
Stills

Glad to know you are being seen quickly, let us know how you get on x

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Fingers crossed for Mondays appointment -and please let us know how you get on.

Pixix profile image
Pixix

Yes. I had, & still have, a lump on my breast. It was examinaed & scanned at hospital, & determined benign. I am expected to ‘watch over it’ & shout if it grows, it moves etc. that’s five years ago now. It hasn’t done anything. I did have, about 25 years ago, 3 lumps at the bottom of my breast. It was decided those should be removed, they were done under local anaesthetic. They were like white peas,& sat upon each other…so they thought there was one lump, & on removal, they found another underneath…& then another!! Good luck, I hope all is well!

Jackoh profile image
Jackoh

Let us know how you get on. All the best for Monday x

S4ndy profile image
S4ndy

Excellent that you are getting seen quickly. So important for unidentified lumps and bumps. Hope you get on ok on Monday xxx

cycli profile image
cycli

Thanks everyone. Rest assured I will update when I have more info.

AshPen9 profile image
AshPen9

All the best cycli, breast clinic in my experience pretty on the ball. Hope it gets sorted quickly.

cycli profile image
cycli in reply toAshPen9

Thanks. From info sent it seems they are, unlike my Rheumatology dept. which just sent me by post an invitation for a telephone consultation on the 4th March !!!

Bcol profile image
Bcol in reply tocycli

Did it say which year??

cycli profile image
cycli in reply toBcol

😂

PMRpro profile image
PMRproAmbassador in reply tocycli

Is that rather late or a very long wait? Or just a typo - also not helpful ...

cycli profile image
cycli in reply toPMRpro

Last time I spoke to mike he said that he had arranged a FtF for 23rd July. Going to do a whole heap of tests from bone to cholesterol. Probably need to factor in the latest. I think it's an overabundance of admin in NHS who are disconnected and unaware of their impact. I think it clogs the works.

AshPen9 profile image
AshPen9

Not a very high bar there, cycli. Take care.

Predderman2020 profile image
Predderman2020

I had it too. I am a man. And two years ago I had a distinct, palpable lump over my left nipple. I went to see a skin specialist. Easy in Greece for 30 euros. She has an advanced machine that gives a danger level reading (all to do with density and blood supply). Mine was 8/10. I saw a general surgeon two days later (90 euros!) who took it out. It was analysed and wasn’t cancer. That was the end of it, but I suspected it might have been something to do with prednisolone. Not sure. Best of luck.

cycli profile image
cycli in reply toPredderman2020

Cheers predderman. Had two mammographs, bloody painful for a bloke,😂 and scans. More lumps developed below ribcage and right side below armpit and the other breast/chest. They don't think they are cancer but they took a core sample of flesh to biopsy. Will know more in 2 weeks time. They think it may be an autoimmune response rether than a reaction to my medication. They aren't painful, but their proliferation is a bloody nuisance.

cycli profile image
cycli

Just a bit of an update.. Somewhat relieved to know it isn't cancer but also confused at this lump proliferation. If it is related to GCA and PMR I would like to understand the mechanism. Medics just said that autoimmune conditions often baffle them in how they behave. Honest but not very reassuring. Makes me feel like a guinea pig. By the way they used a mini version of an apple corer to take the biopsy sample. About 4mm dia. Hope they don't need more as I will look like a swiss cheese. Now have to wait 2 weeks for news. Just had my rheumatologists appointment for July. I wish they would check it before posting...."He has stable inflammatory markers. It was in June 2028 he first presented with symptoms of GCA and PMR so ok to reduce leflunomide to 10mg daily." It was June 2021 when I was diagnosed but I had presented with symptoms many months earlier. Just they couldn't understand what was happening. Much the same as now eh!!! Happy days.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Good to hear it isn’t cancer….let’s hope you can find out what it is…😊.

Think the response on Rheumy’s letter is - no comment!

PMRpro profile image
PMRproAmbassador in reply tocycli

Hmm - interesting! Are you sure the appointment is July this year?

cycli profile image
cycli in reply toPMRpro

I have to believe so. Still they gave me 23rd and 24th in the same letter so I'll have to ring to confirm which!!!!

cycli profile image
cycli

Quick update. Just had consultation on result of the biopsy. It's definitely NOT cancer but they have no idea what it is or what's causing them. They have taken pictures and are referring me to a dermatologist. Not surprised really. Was hoping for something conclusive after they used a mini apple corer to do the biopsy. Heyho, more unknowns.

Bcol profile image
Bcol in reply tocycli

At least it's good news that it's not cancer.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Well at least some good news, but still worrying no doubt… keep us informed please.

PMRpro profile image
PMRproAmbassador in reply tocycli

You are just Special. One day you will get a paper all about you ;)

cycli profile image
cycli in reply toPMRpro

maybe so. Posthumous probably. I've spent a lifetime discovering how things work only to be stumped when it comes to me.😂

cycli profile image
cycli

Well I'm still waiting for the dermatology section to give me an appointment as that's where I have been bumped. In preparation they have proscribed an ointment and a lotion. According to my GP practice they reckon it might be early Morphoea. Before applying the medications I read the blurb and it specifically says I may have a serious illness if I am taking medicine for an autoimmune condition!!!!! DOH. The steroid cream is for surface skin irritation NOT for subcutaneous lumps, which by the way are still proliferating and are now on upper arms. Have booked a consultation with my GP on Wednesday to discuss the whole rigmarole. I haven't used the medications yet. Is nothing straightforward???

PMRpro profile image
PMRproAmbassador in reply tocycli

Don't be silly! You don't do straightforward!!!!!!

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Apparently not!🤦‍♀️

cycli profile image
cycli in reply toDorsetLady

I have to stay reasonable as I need them to keep digging, but I am beginning to think I am better at analysis than them. Dermatology haven't seen me yet and they proscribe something unsuitable and not pertinent.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Beggars belief how you can be diagnosed without being seen. They must have just had a new batch of crystal balls delivered.

No wonder PMRpro and I can’t get one…😊

PMRpro profile image
PMRproAmbassador in reply toDorsetLady

😂

cycli profile image
cycli in reply toPMRpro

i have to laugh or I'd cry

PMRpro profile image
PMRproAmbassador in reply tocycli

Believe me, it is a common problem ...

cycli profile image
cycli in reply toDorsetLady

cheers DL. sad isn't it. Hoping not to have another biopsy. Last consultant said the mini apple corer would be painful so would give me a local anaesthetic. he stuck it in and the syringe exploded covering me in the solution. He then took the plunge and I felt it. Before he twisted the sample to extract it he gave me another injection. Makes you wonder.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Trouble is, on the whole, doctors aren’t very good with needles [unless they are surgeons sewing up afterwards, but very often they let the minions do it] - nurses are far better…

cycli profile image
cycli in reply toDorsetLady

There were two nurses in attendance. One was tall, very thin and young, the consultants assistant. The other middle aged seen it all. She was very nice but seriously overweight. Instead of walking around she kept leaning over my body to reach for things on the trolley to assist the consultant. Rather squashed me. Don't think the young one did anything except flash her eyes at the consultant. All in all left me with the impression that some operatives in the NHS need a bloody good sorting.

PMRpro profile image
PMRproAmbassador in reply tocycli

You could complain you know. If you complain, they must do something, even if it is only making it clear poor professional behaviour like that isn't acceptable.

cycli profile image
cycli in reply toPMRpro

I know but I'd rather save my energy trying to get specialists to work out why I am growing lumps everywhere. It's either in the lymph tissue or the fatty layer. It's not lymph nodules. I'm wondering if it's another expression of cellulitis. I need them to focus. It may be benign but it's worrying all the same.

cycli profile image
cycli

Interesting if inconclusive consultation. Another doctor baffled by the lumps. Still, she reassured me that the steroid cream could be used. advice on lotion application so apply medications and wait for dermatology. They'll probably want biopsies so got that to look forward to.

cycli profile image
cycli

Update if anyone interested. The steroid ointment appears to be having an effect. Maybe they are reducing naturally or maybe the medication works. Maybe it was Morphoea. As an aside I'm feeling better and back/hip/muscle pain much reduced. Can stand for longer and work. Feel a bit stronger. Tried my bike and rode up the hill from our farm twice so balance ok now but very weak so lots to do. Taking it slow but hopeful. Down to 3.5mg from tomorrow.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply tocycli

Good to hear things are improving-long may it continue..

PMRpro profile image
PMRproAmbassador in reply tocycli

Onwards and downwards - and upwards ...

Hopeful424 profile image
Hopeful424

I have no lumps, but I experience pain in my sternum and sneezing feels like my chest may explode. Anyone else experiencing this kind of pain? If almost feels like connective tissure may be involved. Thoughts?

PMRpro profile image
PMRproAmbassador in reply toHopeful424

I've replied on the other place you mentioned the chest pain - it may be costochondritis and I have given you a couple of links to read. But for more replies you will have to post a new thread as I have explained.

cycli profile image
cycli in reply toHopeful424

Hi Hopeful424. I hope everything is ok with you. As PMRpro mentions, best to start another thread rather than joining a specific topic thread with a separate ailment not related.

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