Doctor insights on:
Been told I have a lipoma in my sternal notch. It's currently only about 1cm, but has tripled in size within about 6 weeks. Should I push for biopsy?
Maybe: My rule of thumb for soft tissue masses is if they are bothering you or enlarging, that's a good enough reason to remove them. ...Read more
A 60 year old man has discomfort/pain when swallowing in the sternal notch area. It started abowut 1 month ago. Could you please give me the possible?
Swallow difficulty: May be GERD w/ or without h pylori, , or infeciton in esophagus like candida or stricture can be evaluated with EGD where they look down esophagus w/ scope. May also be achalasia -spasm/ irregular perastalsis (the movement that pushes food along) rarely stroke, mass lesion. Get CT chest, thyroid ultrasound F/u/ w/ doc and gastroenterologist ...Read more
Near the stern all notch is some what a vague term however if the area you mean is along the border of the sternum then the probable cause of your pain is inflammation of the joint where the rib goes into the sternum. This area is a costochondral joint. As breathing occurs these type of areas move and if inflamed will e painful as you describe.
So lately I've noticed that I have a fairly prominent palpable pulse in my supra-sternal notch. I can sometimes even see it throbbing in the mirror.
Worth a check: If you look at very fit men, perhaps the track team members, you'll see others who are like you. Your physician can tell you whether this is your aortic or your venous pulse. One unlikely thing to rule out is a thoracic aortic aneurysm. If your cardiac exam is otherwise normal and you feel well, i'd not be concerned. ...Read more
What would be the thing to do, and/or causing cervical thymus, causing mass in sternal notch in an adult. 30yr f? No MG symptoms. Occasional pain.
Hi, I have a lump in my sternal notch that is pretty firm. Ultrasound says "may" be a lipoma, watch for interval growth. Its bigger. Thoughts?
Lipoma are usually soft specially in this location
It is hard for me to say it is not without feeling it or seeing it.
I am depending on the location and description.
there is higher possibility that it is part of the sternum than it is a lipoma.
any way if it is too visible or causing you a problem you can ask to have it removed. ...Read more
I have visable and palpable pulse in supra sternal notch also tender spots all around neck blood pressure normal.
8mm well circumscribed hyperechoic mass in sternal notch, slightly mobile, firm, growing. Possible lymph node?? Tech thought node, doc thinks lipoma??
Prob lipoma.: An ultrasound can see the difference between a lymph node and a lipoma. So if the doctor (radiologist) said lipoma, it's a lipoma. Even so, if it keeps growing, it's best to have it biopsied. Some tumors, like liposarcomas, can masquerade as lipomas because they are made of fat. Any lump that continues to grow eventually needs a biopsy. I hope that helps! ...Read more
Lump in sternal notch, almost tripled in size in 8 weeks, but ct did not pick it up. ENT not worried. Said check back in 6 weeks. Should I push this?
No: You've done the right thing by seeing an ENT surgeon. If that doctor wants to see you back, you are not being ignored. ...Read more
Is it normal on CT to show what appears to be erosion on the posterior side of the manubrium? I have residual thymus, and a mass in my sternal notch.
Not normal: Normal residual thymic tissue should not erode the manubrium. The nature of this mass needs to be fully explored. ...Read more
Lump in sternal notch, falls behind manubrium. Doc thinks lipoma, but it's getting bigger over just a couple weeks. Didn't show at all on CT 6mo. Ago?
I have a persistent tightness in my throat slightly superior to the supra sternal notch. Skin around notch tender if pressed. Anxiety?
Could lump in my sternal notch could be causing intermittent ear pain? No infection. 30yrf. I have residual thymus, "may" be my mass? Growing/painless
Thymus: Not the ear, should get the "mass/lump" further evaluated, exam/radiologically/biopsy if need be ...Read more
Only when lying on left side I notice a pulsation between Sternal Head and between Jugular Notch on the right side only Normal Venous Pulsation?
Venous pulse: Need to know what you mean by notice? Do you feel it or hear it or see it. And not clear if you see a normal venous pulsation or are asking if this is normal? ...Read more
Cardiologist said Aneurysm External and Internal Carotid very rare in Neck and rare inside Sternal Head andJugular Notch No Ultrasound Needed? True?
I assume there are no symptoms.
Aneurysms are rare but do occur. See: http://www. Sciencedirect. Com/science/article/pii/S0741521400498800
Why not instead worry about garden variety plaque/stenosis in a 49 yo and try for a screening carotid U/S? No harm in a screening U/S, but may not be so available in the UK.
Would advise if a signif. History of smoking or family history of vascular disease. ...Read more
Usually Musculoskele: Sternal pain is usually musculoskeletal. If you are concerned with "chest pain", call 911 immediately. Ms CP is usually due to inflammation of the cartilage attaching the ribs to the sternum. This itreated with posture, heat or ice, anti-inflammatories like Ibuprofen and rest. If continued, see your pcp for further evaluaiton and treatment. ...Read more
Yes: Any rubbing, stretching, or trauma to the rib region can injure these muscles. ...Read more
High Acid: High gastric acid is on the top list as I could see you are taking sulindac. Please try Prilosec otc and if this does not get better, then you want to see a doctor. ...Read more
Pinching, pinpoint sternal chest pain. Localized and pain level fluctuates between a 6 and 9 on pain scale. Has lasted a month?
Under the breastbone: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
2wk s/p MVC, CXR in ED neg, now w/worsening sternal pain, worse when bending or laying down, no SOB only pain w/deep breath, should I be concerned?
U may have injured.: ..either the xyfoid or even have a small compression fracture of the sternum or injured the articular cartilages at the level of the attachments 2 the sternum. These will not show up on x-rays. A CT can show a fracture, but usually there is no treatment, especially if a 1 cortex compression. Same with the sprained attachments @ the sternum. Ice NSAIDS, rest activity modification & tincture of time ...Read more
Breastbone: It means the breastbone (sternum) is shaped a little differently. ...Read more
Abnormal sternum: "sternal congenital malformation" could be any abnormal formation or form of the sternum. For example "pectus excavatum" is an abnormal formation of the rib cage that gives the chest a caved-in or sunken appearance. The sternum itself can also have prominences or clefts. ...Read more
If sternal debridement is performed on the sternum do they have to leave it open and do you have to wear a wound vac?
Many options: If the sternum was debrided due to infection, then yes, it has to be left open to heal from the bottom up. Using suction therapy (vac is just one brand) is an excellent way to help large/deep open wounds heal but the infection must be treated first by removing the infected, non-healing tissue and then antibiotics directed specifically at the bacteria that caused the problems. Wound consult helps. ...Read more