Chest Pain: What Could a Hard Lump Indicate? - Pulmonology

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Suddenly felt something hard?


Hello, doctor.
I would like to ask a question for my husband.
While he was sleeping today, he suddenly felt a hard, immovable lump in the center of his chest, just below the area between his lungs.
It is about 3 centimeters in size and it hurts.
Since it is not located in the lungs or on the bones, what could it be? Could it be a tumor? My husband works until 9 PM every day and really cannot see a doctor, so I am very worried.
Thank you for your help.

Xiao Yun, 20~29 year old female. Ask Date: 2004/03/10

Dr. Ke Zhengchang reply Pulmonology


The location you described seems to be the xiphoid process at the lower end of the sternum.
Generally, excessive fatigue can lead to myositis or costochondritis, causing pain.
Improvement can be achieved through rest and anti-inflammatory medication.
It is recommended to visit a thoracic medicine clinic for treatment.

Reply Date: 2004/03/10

More Info


Understanding chest pain and the presence of a hard lump in the chest area can be concerning, especially when it is accompanied by pain. Your husband's description of a hard, non-moving lump located in the central area of the chest, just below the lungs, raises several possibilities that should be carefully considered.

Firstly, it is important to note that lumps in the chest can arise from various structures, including muscles, fat, lymph nodes, and even the skin. Given the location you described, the lump may be related to the pectoral muscles or the underlying connective tissue. Muscle strain or inflammation can sometimes cause localized swelling or tenderness, which might feel like a hard lump. This is particularly plausible if your husband has been engaging in physical activities or has had a recent injury.

Another possibility is that the lump could be a benign growth, such as a lipoma (a fatty tumor) or a cyst. These types of lumps are generally harmless and do not require treatment unless they cause discomfort or cosmetic concerns. However, the presence of pain is noteworthy and should not be overlooked.

On the other hand, the concern about a tumor is valid, especially if the lump is hard and painful. While most lumps are benign, it is essential to rule out the possibility of malignancy, particularly if there are other concerning symptoms such as unexplained weight loss, persistent cough, or changes in appetite. Tumors can arise from various tissues in the chest, including the lungs, lymphatic system, and even the bones.

Given your husband's busy schedule, it may be challenging for him to seek medical attention immediately, but it is crucial that he does so as soon as possible. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound or a CT scan, to better understand the nature of the lump. These tests can help determine whether the lump is solid or cystic and whether it has any concerning features that warrant further investigation.

In the meantime, it is advisable for your husband to monitor the lump for any changes in size, shape, or associated symptoms. If the pain worsens, or if he experiences any new symptoms such as difficulty breathing, chest tightness, or fever, he should seek medical attention immediately.

In summary, while there are several potential explanations for the hard lump in your husband's chest, including benign conditions, it is essential to consult a healthcare provider for a thorough evaluation. Early diagnosis and management are key to addressing any underlying issues effectively. Your concern for your husband's health is commendable, and encouraging him to prioritize a medical evaluation will be beneficial for his well-being.

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