[41F] With hip and thigh lumps and systemic symptoms

Patient Description

A 41-year-old female presents with soft lumps on the left hip and thigh, approximately the size of a golf ball, persisting for over a month. The lumps have increased from one to two, with associated pain varying from sharp to dull to throbbing, exacerbated by movement and prolonged sitting. The patient reports additional symptoms including fatigue, loss of appetite, night sweats, and fluctuating sensations of being hot and cold. No recent infections, injuries, or changes in weight or fever are noted. Imaging tests were clear, indicating possible arthritis. Medical history includes diabetes, high cholesterol, depression, and a heart attack a year ago. Family history is significant for various cancers, including colon, ovarian, prostate, lung, and cervical cancer. Current medications include prasugrel, aspirin, Wellbutrin, ezetimibe, Zyrtec, and insulin, all taken once daily. Allergies include tramadol, CT contrast, Jardiance, and muscle rub. No use of tobacco, alcohol, or recreational drugs is reported.

Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

Lipoma or Cyst: Soft lumps that are not painful and have been present for a while could be lipomas (benign fatty tumors) or cysts. These are generally harmless but can be uncomfortable.
Infection or Inflammation: The warmth and pain might suggest an infection or inflammation. This could be related to a skin or soft tissue infection.
Lymphadenopathy: Although you haven't noticed swollen lymph nodes, sometimes they can be internal and not easily felt. This could be related to an infection or other systemic condition.
Arthritis: The imaging suggested possible arthritis, which could contribute to pain and discomfort in the area.

Given your family history of cancer, it's important to rule out any serious conditions, although the imaging was clear.

What you can do

For the lumps and pain:

Consult a healthcare provider: It's important to follow up with a doctor to evaluate these lumps further, especially given your family history.
Pain management: Over-the-counter pain relief like acetaminophen may help, but consult your doctor first due to your medications.

For fatigue and night sweats:

Monitor symptoms: Keep track of your symptoms using MDandMe to share with your healthcare provider.
Stay hydrated: Ensure you're drinking enough fluids, especially if you're experiencing night sweats.

For overall health:

Manage diabetes and cholesterol: Continue taking your medications as prescribed and monitor your blood sugar levels.
Healthy lifestyle: Maintain a balanced diet and regular physical activity as tolerated.

What you should look out for

Changes in lumps: If they grow, become more painful, or change in appearance, seek medical attention.
New symptoms: Watch for fever, unexplained weight loss, or any new symptoms.
Medication interactions: Be aware of any new symptoms that might suggest a reaction to your medications.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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[41F] With hip and thigh lumps and systemic symptoms

What might be happening

What you can do

What you should look out for

Experiencing symptoms?