[32F] With large neck mass and systemic symptoms

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

1. Cushing Syndrome: Given your diagnosis of Cushing syndrome, many of your symptoms, such as weight gain, thinning hair on your head, excessive hair growth on your face, and decreased energy levels, could be related to this condition. Cushing syndrome occurs when your body is exposed to high levels of the hormone cortisol for a long time. This can lead to a variety of symptoms, including the ones you are experiencing.

2. Lipoma or Benign Tumor: The large, soft lump on your neck that has been present since childhood and has grown over time could be a lipoma, which is a benign (non-cancerous) tumor made of fat tissue. Lipomas are usually soft, movable, and painless, although they can sometimes cause discomfort if they press on nearby structures.

3. Thyroid Disorder: Given your history of hypothyroidism and the location of the lump, it is also possible that the lump could be related to a thyroid disorder, such as a goiter (enlarged thyroid gland). Thyroid disorders can cause a variety of symptoms, including weight changes, changes in energy levels, and changes in hair growth.

What you can do

Cushing Syndrome:

• Follow up with your healthcare provider to discuss the results of your Cushing syndrome testing and to develop a treatment plan. Treatment may include medications, surgery, or other interventions to reduce cortisol levels.
• Monitor your symptoms and keep a journal of any changes or new symptoms using the MDandMe app. This can help your healthcare provider track your progress and adjust your treatment plan as needed.

Large Lump on Neck:

• Schedule an appointment with your healthcare provider to have the lump evaluated. They may recommend imaging studies, such as an ultrasound or MRI, to determine the nature of the lump and whether any further treatment is needed.
• Avoid any activities that cause pain or discomfort in the area of the lump.

General Health:

• Maintain a healthy diet and exercise regularly to help manage your weight and improve your energy levels.
• Take your prescribed medications as directed and follow up with your healthcare provider regularly to monitor your chronic conditions, such as diabetes and hypothyroidism.

What you should look out for

Seek medical attention if you experience any of the following:

• Rapid growth or changes in the lump, such as increased pain, redness, warmth, or ulceration.
• Difficulty swallowing or breathing.
• Unexplained weight loss or other new symptoms that concern you.

Remember, it is important to consult with a healthcare provider to receive a formal diagnosis and appropriate treatment. If you have any additional questions or concerns, please feel free to continue the conversation.