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Date of last update: 10/19/2017.

Forum Name: Chest symptoms

Question: Lump in center of chest

 mrsrob143 - Fri Jan 13, 2006 2:07 am

My husband has a lump in the center of his chest that is a little smaller than the center of his palm, it is tender to the touch and is painful for him when touched. The doctor took an x ray but it didnt show up, so he has scheduled my husband for a CAT scan in about a week and half. The doctor said that it felt like bone to him, and we are a little concerned. We just don't have the slightest idea what it could be, and were wondering if anyone could give us a range of ideas on what the possibilities are of what this lump could be. Thank you so much for your time.
 Dr. Safaa Mahmoud - Fri Jul 07, 2006 1:12 pm

User avatar Dear mrsrob143,
It is very difficult to tell by the anatomical location and few symptoms what it could be, especially if the anatomical origin is not well defined and the associated symptoms are not indicative for any possible diagnosis.
Swelling in the center of the chest, I assume where the sternum is, is more likely to be of bone origin (sternal mas), however a soft tissue mass can also be the cause.
Since it is painful, and tender, Traumatic and inflammatory causes are considerd however, benign and malignant tumors can also present as a painful swelling.
In any case clinical examination is very essential for differential diagnosis of any palpable mass especially if the associated symptoms are not indicative of any possible diagnosis.
Only by examination and investigations the nature of this mass can be defined. After CT examination, the exact origin can be known, then the pathological nature of this mass should be defined by either FNAC or biopsy. Further investigation will be defined according to the results.
Best regards,

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