[20F] Concerning lumps and systemic symptoms

Patient Description

A 20-year-old female presents with two hard, immovable lumps located on her wrist and upper jaw, with the latter causing facial swelling. The lump on the wrist has been present for a year, while the one on the jaw has been present for a few months. Accompanying symptoms include swollen lymph nodes, recent onset of nausea, and a lack of appetite. The nausea, which has been present for two days, is not severe and improves with sleep. There is no history of trauma to the areas where the lumps are located.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Lipoma: A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. It's usually not tender, moves easily with slight finger pressure, and remains the same size over time. However, you described your lumps as hard and immovable which is not typical for a lipoma.

  • Ganglion cyst: These are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They can be painful if they press on a nearby nerve. Their size can fluctuate, often getting larger when you use that joint for repetitive motions.

  • Bone tumor: Although extremely rare, a hard, immovable lump could be a sign of a bone tumor. Most bone tumors are benign, but they can also be malignant (cancerous).

  • Lymphadenopathy: Swollen lymph nodes often indicate an infection or disease. Given the location of your lumps, this could be a possibility.

  • Salivary gland disorders: A lump in your upper jaw could be related to your salivary glands. These glands can become blocked or infected, or develop a tumor.

Your nausea and lack of appetite could be related to these conditions, or they could be symptoms of another issue.

What you can do

Given the symptoms you've described, it's important to seek medical attention.

  • Schedule an appointment with your healthcare provider as soon as possible. They can examine your lumps and potentially order imaging tests like an X-ray, CT scan, or MRI to further investigate.

  • Keep a symptom diary. Note any changes in the size or feel of your lumps, and any other symptoms you experience. This can help your healthcare provider in their evaluation.

What you should look out for

Seek immediate medical attention if:

  • Your lumps grow in size or become painful.
  • You experience sudden or severe pain in the area of your lumps.
  • You develop new symptoms, such as fever, unexplained weight loss, or severe nausea and vomiting.

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis.

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10 mo ago

People Also Ask


What could cause hard, immovable lumps on the wrist and jaw?

Hard, immovable lumps on the wrist and jaw could be caused by conditions such as ganglion cysts, bone tumors, or salivary gland disorders. It's important to have these evaluated by a healthcare provider to determine the exact cause.


Are swollen lymph nodes a common symptom with lumps?

Yes, swollen lymph nodes can be a common symptom when there are lumps, as they often indicate an infection or disease in the body. They can also be a response to inflammation or other underlying conditions.


What are the potential risks of leaving these lumps untreated?

Leaving these lumps untreated could lead to complications, especially if they are related to a serious condition like a bone tumor or an infection. Potential risks include growth of the lumps, pain, or the development of additional symptoms. It's crucial to seek medical evaluation to prevent any adverse outcomes.


How can nausea and lack of appetite be related to these lumps?

Nausea and lack of appetite can be related to these lumps if they are part of a systemic condition affecting the body, such as an infection or a tumor. These symptoms could also be a response to stress or discomfort caused by the lumps. A healthcare provider can help determine the connection.


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