[36F] With lump on SC joint and mild shortness of breath

Patient Description

A 36-year-old female presents with a hard lump on the sternoclavicular (SC) joint, noticed for approximately three weeks. The lump has slightly increased in size over this period and is tender to touch. There is no history of injury or trauma to the area, and no associated redness or warmth. The patient also reports mild shortness of breath, particularly exacerbated by physical activities such as climbing stairs and walking, which is relieved by rest. No recent infections or illnesses have been reported. Additionally, the patient experiences mild discomfort in the clavicle and upper arm.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Swollen Lymph Node or Cyst: A hard lump near the sternoclavicular (SC) joint could be a swollen lymph node or a cyst. These can sometimes occur without a clear cause and may be tender. They can change in size over time.

    • Typical Treatment: Often, these resolve on their own. If they persist or cause discomfort, a doctor might recommend imaging tests or a biopsy to determine the cause.
  2. Joint or Bone Issue: The lump and discomfort in your clavicle and upper arm could be related to a joint or bone issue, such as arthritis or a benign bone growth.

    • Typical Treatment: Treatment may involve pain management, physical therapy, or further investigation with imaging like an X-ray or MRI.
  3. Lipoma: A lipoma is a benign fatty tumor that can appear as a lump under the skin. They are usually soft, but can sometimes feel firm.

    • Typical Treatment: Lipomas are generally harmless and only require removal if they cause discomfort or for cosmetic reasons.
  4. Respiratory or Cardiovascular Issue: Mild shortness of breath, especially when exerting yourself, could be related to a respiratory or cardiovascular condition.

    • Typical Treatment: This would require a medical evaluation to determine the underlying cause, which could involve lung function tests or a heart evaluation.

What you can do

  1. Monitor the Lump: Keep an eye on the size and tenderness of the lump. Note any changes and report them to a healthcare provider.
  2. Manage Discomfort: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort in the clavicle and arm.
  3. Rest and Avoid Strain: Continue to rest and avoid activities that exacerbate your shortness of breath.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider for a more comprehensive evaluation.

What you should look out for

  • Seek Medical Attention If:
    • The lump continues to grow or becomes more painful.
    • You experience increased shortness of breath or it occurs at rest.
    • You notice any new symptoms such as fever, unexplained weight loss, or night sweats.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago


People Also Ask


What could cause a hard lump on the sternoclavicular joint?

A hard lump on the sternoclavicular joint could be caused by a swollen lymph node, a cyst, a joint or bone issue like arthritis, or a benign growth such as a lipoma.


How can mild shortness of breath be related to a lump on the SC joint?

Mild shortness of breath may not be directly related to the lump on the SC joint but could indicate a respiratory or cardiovascular issue that needs evaluation.


What are the typical treatments for a swollen lymph node or cyst?

Swollen lymph nodes or cysts often resolve on their own, but if they persist or cause discomfort, a doctor might recommend imaging tests or a biopsy to determine the cause.


When should I seek medical attention for a lump or shortness of breath?

You should seek medical attention if the lump continues to grow, becomes more painful, or if you experience increased shortness of breath, especially if it occurs at rest, or if you notice new symptoms like fever or unexplained weight loss.


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