[18F] Experiencing aching pain and sore lump on sternum

Patient Description

An 18-year-old female is reporting constant aching pain under the breasts on the ribs, sternum, and back for the past 5 days, which she rates as a 6 out of 10 in severity. Additionally, she has noticed a sore lump on her sternum just last night. The patient also mentions having swollen lymph nodes. She has not experienced any recent injuries or accidents that could explain the pain, and she is not currently pregnant. Further medical evaluation is necessary to determine the cause of these symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible conditions include:

  • Costochondritis: This is an inflammation of the area where your ribs join with the breastbone, called the costosternal joints. This condition often results in chest pain that can be sharp or dull, and may feel like a lump in the chest. It is often worsened by physical activity, deep breathing, or pressure on the area.

    • Treatment typically involves rest, avoiding strenuous activities, and over-the-counter pain relievers.
  • Tietze Syndrome: This is a rare, inflammatory disorder characterized by chest pain and swelling of the cartilage of one or more of the upper ribs. The pain can be sharp, and the swelling can feel like a lump.

    • Treatment is usually focused on managing pain with medications and physical therapy.
  • Breast Conditions: Given your age and sex, it's also possible that hormonal changes could be causing breast pain and swelling. Conditions like fibrocystic breast changes can cause lumps and pain in the breast and surrounding area.

    • Treatment often involves monitoring the condition, over-the-counter pain relievers, and sometimes hormonal medications.
  • Lymphadenopathy: Swollen lymph nodes are often a sign of an infection or, less commonly, a condition like lymphoma or leukemia. However, these conditions would typically cause other symptoms like fever, night sweats, or unexplained weight loss.

    • Treatment depends on the underlying cause.

What you can do

Given your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider. They can perform a physical examination and may order tests like an ultrasound or mammogram to further evaluate your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and anything that makes them better or worse. This can help your healthcare provider diagnose your condition.
  3. In the meantime, over-the-counter pain relievers like ibuprofen or acetaminophen may help relieve your pain. However, it's important to use these medications only as directed.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Trouble breathing
  • Fever
  • Unexplained weight loss
  • A rapidly enlarging lump

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the costosternal joints, where the ribs meet the breastbone. It often causes chest pain that can be sharp or dull and may feel like a lump. Treatment typically involves rest, avoiding strenuous activities, and using over-the-counter pain relievers.


What are the symptoms and treatment options for Tietze Syndrome?

Tietze Syndrome is a rare inflammatory disorder characterized by chest pain and swelling of the cartilage of the upper ribs. The pain can be sharp, and the swelling may feel like a lump. Treatment focuses on managing pain with medications and physical therapy.


Can hormonal changes cause breast pain and lumps?

Yes, hormonal changes can cause breast pain and lumps, especially in young women. Conditions like fibrocystic breast changes can lead to these symptoms. Treatment often involves monitoring the condition, using over-the-counter pain relievers, and sometimes hormonal medications.


What could swollen lymph nodes indicate and when should I be concerned?

Swollen lymph nodes can indicate an infection or, less commonly, conditions like lymphoma or leukemia. They are often accompanied by other symptoms such as fever, night sweats, or unexplained weight loss. It's important to seek medical attention if you experience these additional symptoms or if the lymph nodes continue to enlarge.


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