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Forum Name: Lymphoma

Question: large spongy knot in the left clavicle region


 daisymaewalker - Thu Nov 13, 2008 9:48 am

About a year ago I found a knot in the left clavicl region. I went to the dr. and he was very alarmed. He suggested imaging with dye and I had this done. I was contacted and told that this was a lipoma or a fatty tumor. The surgeon I saw was not real axious about removing it because of its location. He did some type of ultrosaound thing in his office and said there was not any fluid to drain from it. He told me to vist once a year and monitor the size. It has been a year and a half since I have been and people are starting to notice it. It is pretty big. Is there a chance of lymphoma being misdiagnosed as a lipoma. What is your suggestion of getting this removed and what kind of surgeon or Dr. to see. I have been told to see and oncologist. Can you please point me in a direction so I can quit worrying about this thing.
 Dr. Tamer Fouad - Wed Dec 03, 2008 4:52 am

User avatar Hi,

Supraclavicular nodes are always alarming because in some cases they indicate an advanced malignancy of the lungs, breasts or abdominal cavity.

It is very unlikely that they missed a lymph node and mistook it for a lipoma given the amount of attention you received.

Although, removal of a lipoma is not necessary from the pathological sense. The fact that it has grown to become noticeable and the fact that this is disturbing in the cosmetic sense is an indication to get it removed. I think you should contact your surgical oncologist again and tell him that although you are not worried about it turning out malignant you do think it's disfiguring. A cosmetic surgeon can also remove it although it will probably cost you more.

Best regards,

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