[18F] With hard lump at the base of the skull and severe headaches

What might be happening

Based on the information you have provided, here are some possible explanations for the hard lump at the base of your skull:

• Lymphadenopathy: This is the enlargement of lymph nodes, which can occur due to infections, inflammation, or other causes. Even though you haven't had recent infections, sometimes lymph nodes can swell due to past infections or other immune responses.

  • Treatment: Typically, no treatment is needed if the swelling is due to a minor infection. If it persists, a doctor might recommend further tests to determine the cause.

• Lipoma: A lipoma is a benign (non-cancerous) tumor made of fat tissue. They are usually soft, but some can feel firmer.

  • Treatment: Lipomas generally do not require treatment unless they cause discomfort or cosmetic concerns. Surgical removal is an option if needed.

• Cyst: A cyst is a closed sac-like structure filled with fluid or semi-solid material. They can occur anywhere on the body.

  • Treatment: Cysts often do not require treatment unless they become painful or infected. In such cases, a doctor might drain or remove the cyst.

• Bone Spur or Osteoma: These are bony growths that can develop on the skull or other bones. They are usually benign.

  • Treatment: If the growth causes discomfort or other issues, surgical removal might be considered.

• Tumor: While less likely, a hard, immovable lump could be a benign or malignant tumor. Given the severity of your headaches, this possibility should be evaluated by a healthcare professional.

  • Treatment: Treatment options vary widely depending on the type and location of the tumor and may include surgery, radiation, or chemotherapy.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Monitor the Lump: Keep an eye on the size, shape, and any changes in the lump. Note any new symptoms that develop.
2. Pain Management: Since you mentioned the lump is only painful when pressed, avoid pressing on it. For your headaches, continue to use ibuprofen as needed, but be cautious with the dosage and frequency.
3. Stay Hydrated and Rest: Ensure you are well-hydrated and get plenty of rest, as this can help your body manage any underlying issues.
4. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track any changes in the lump, and record your headaches. This information can be valuable for your healthcare provider.
5. Avoid Self-Diagnosis: While it's helpful to be informed, avoid jumping to conclusions about your condition. A healthcare professional can provide a more accurate diagnosis.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Rapid Growth: If the lump grows rapidly or changes in shape.
• Increased Pain: If the lump becomes painful without pressing on it.
• Neurological Symptoms: If you experience new or worsening headaches, vision changes, dizziness, or any other neurological symptoms.
• Systemic Symptoms: If you develop a fever, unexplained weight loss, or night sweats.

Remember, while I can provide information and suggestions, I am not a substitute for a healthcare professional. Please consult a doctor for a formal diagnosis and appropriate treatment.