a Lump Inside the Rib Cage: Possible Causes and Concerns - Pulmonology

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Inner side of the rib?


I would like to ask about a round lump on the inner side of my right rib cage near my chest.
What could it be? Some people suggested it might be a lipoma or something similar.
It's located close to the liver area.
Is this something that has always been there, or is it something new? I discovered it while pressing inward on my abdomen during a shower.

Da Sheng, 20~29 year old female. Ask Date: 2019/06/26

Dr. Yang Wenda reply Pulmonology


Hello: It is recommended to see a dermatologist or a general surgeon for an evaluation by a physician.

Reply Date: 2019/06/26

More Info


When you discover a lump inside your rib cage, particularly on the right side near the liver, it can understandably cause concern. There are several potential causes for such a lump, and understanding these can help alleviate some anxiety while guiding you toward the appropriate next steps.

Firstly, it's essential to consider the nature of the lump. Common benign causes include lipomas, which are soft, fatty tumors that can develop under the skin. They are typically painless and movable, and many people have them without ever realizing it. Another possibility is a sebaceous cyst, which can occur when a hair follicle becomes clogged. These cysts can feel round and firm, and while they can become inflamed or infected, they are generally harmless.

However, given your description of the lump being located near the rib cage and close to the liver, it is crucial to consider other possibilities. For instance, it could be a benign growth such as a fibroma or a more concerning condition like a lymphadenopathy, which refers to swollen lymph nodes that can occur due to infections or malignancies. In some cases, lumps in this area could also be related to the liver, such as hemangiomas (benign vascular tumors) or other liver lesions.

If the lump is new and has not been present before, it is essential to monitor it closely. Changes in size, shape, or associated symptoms (like pain, fever, or changes in appetite) warrant further evaluation. Imaging studies, such as an ultrasound or CT scan, can provide valuable information about the lump's characteristics and its relationship to surrounding structures.

In terms of your concern about whether this lump is something that has always been there or if it is a new development, it can be challenging to determine without prior imaging or medical history. If you have had previous imaging studies, comparing them can help clarify whether this is a new finding.

Given the proximity of the lump to the liver, it is advisable to consult with a healthcare professional who can perform a physical examination and possibly recommend imaging studies. They may also consider your medical history, any symptoms you may be experiencing, and the characteristics of the lump itself.

In summary, while there are several benign explanations for a lump inside the rib cage, it is crucial to approach this finding with caution. Seeking medical advice is the best course of action to ensure proper evaluation and management. Early detection and diagnosis can significantly impact outcomes, especially if there is any concern for malignancy. Remember, it is always better to err on the side of caution when it comes to health-related concerns.

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