Could a Lump in My Shoulder Indicate a Tumor? Seeking Medical Advice - Oncology

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Feeling a lump similar to a tumor in the shoulder?


Hello Doctor, I would like to ask about the pain I've been experiencing in my right shoulder and neck area.
It has been very sore and feels tight and stiff for about 2 to 3 months.
Recently, when I applied a muscle relief ointment on my shoulder, I suddenly noticed a small lump deep inside when I pressed on it.
Could this possibly be a tumor? It's not visible on the surface; I only felt it when I pressed hard on my shoulder.
I have been working out, so I'm not sure if it's muscle-related.
What do you think about this situation? Is there a specific specialty you would recommend I see?

chou, 20~29 year old female. Ask Date: 2016/03/24

Dr. Lai Yicheng reply Oncology


Dear Mr.
Chou,
Thank you for your letter.
In response to your described symptoms, it is difficult to assess your actual condition without a physical examination.
We recommend that you visit an otolaryngologist for further evaluation and treatment.
If needed, we can assist with a referral to Dr.
Hsu Chia-Fang at our hospital's ENT department.
Changhua Hospital cares about your well-being.
Sincerely,
Director Lai Yi-Cheng

Reply Date: 2016/03/24

More Info


When it comes to a lump in the shoulder area, especially when accompanied by pain and discomfort, it is essential to approach the situation with caution and seek medical evaluation. The symptoms you describe, including persistent pain in the shoulder and neck region, along with the discovery of a lump upon palpation, warrant further investigation to determine the underlying cause.

Firstly, it is important to understand that lumps in the shoulder area can arise from various conditions, including benign tumors, cysts, muscle strains, or even lymphadenopathy (swollen lymph nodes). Given that you have been experiencing pain for a couple of months, it is crucial to differentiate between these possibilities. While the lump could potentially be a benign muscle knot or a lipoma (a benign fatty tumor), it is also possible for it to be something more serious, such as a malignant tumor or a lymph node enlargement due to an underlying condition.

To assess the nature of the lump, a thorough clinical examination by a healthcare professional is necessary. The doctor will likely perform a physical examination to evaluate the lump's size, shape, consistency, and mobility. Based on the findings, imaging studies such as an ultrasound, X-ray, or MRI may be recommended to provide more information about the lump's characteristics and its relationship with surrounding tissues.

If the lump is suspected to be a tumor, a biopsy may be necessary to obtain a tissue sample for pathological examination. This is crucial for determining whether the tumor is benign or malignant. In cases where the lump is found to be benign, treatment options may include monitoring, physical therapy, or surgical removal if it causes discomfort or functional impairment. Conversely, if the lump is malignant, a more aggressive treatment approach, including surgery, chemotherapy, or radiation therapy, may be warranted.

In terms of the pain you are experiencing, it could be related to muscle strain or tension, especially if you have been engaging in physical activities such as weightlifting or other forms of exercise. Muscle tension can lead to discomfort and may even cause referred pain to other areas, such as the neck or upper back. However, the presence of a lump complicates the situation, and it is essential to rule out any serious underlying conditions.

As for the recommended specialty for evaluation, you should consider seeing an orthopedic surgeon or a general surgeon, as they are well-equipped to assess musculoskeletal issues and perform necessary interventions. Additionally, if there is any concern regarding the nature of the lump, a referral to a surgical oncologist may be appropriate.

In summary, while the lump in your shoulder may not necessarily indicate a tumor, it is crucial to have it evaluated by a healthcare professional. Early diagnosis and appropriate management are key to ensuring the best possible outcome. Do not hesitate to seek medical attention, as this will provide you with peace of mind and clarity regarding your health.

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