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How Can A Lump On The Upper Thigh Be Treated?

Posted on Fri, 9 Jun 2017

Question: My wife just noticed a 1" X 2" hard lump on her upper front thigh, nearer the inside. No pain however.

Answered by Dr. Dr Manjunath Metri (14 minutes later)

Brief Answer:
Needs evaluation

Detailed Answer:
Hello and welcome to HealthcareMagic..
I thank you for posting your query here.

I will analyze all your points and provide necessary explanation below..

1. Age 75
Swelling of 1 x 2
Hard
Upper front thigh..

OK, this tells me that she's having inguinal lymphadenopathy.
And since it's hard and also considering her age we have to be little aggressive in the work up and further management.

Please answer these questions..
A. Did she suffer or get treatment for any kind of cancer?
B. Is she diabetic?
C. Any ulcers in the lower limbs?
D. Any other symptoms?

Please let me know these and I will guide you further on how to go about..
Take care..

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr Manjunath Metri (15 hours later)

She has history of cancer. She is not diabetic nor does she have any ulcers or other symptoms.

Answered by Dr. Dr Manjunath Metri (31 minutes later)

Brief Answer:
What cancer?

Detailed Answer:
Hello and welcome back..

Please provide details of what cancer was it, when was it diagnosed, what treatment was given..

This will sum up everything..

Mostly, I feel it's a metastatic lymph node unless otherwise proved.
Best is to get a FNAC of that swelling..

Please get back with the details..

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr Manjunath Metri (19 minutes later)

I'm sorry, I mistyped. She has no history of cancer. About 6 to 8 weeks ago, she had a terrible viral head cold with no fever. The worst I ever saw & even got into her eyes. Not given any antibiotics by her doctor since she had no fever.

Answered by Dr. Dr Manjunath Metri (1 minute later)

Brief Answer:
FNAC is best

Detailed Answer:
Well, that's OK.
Not a problem..

Please get FNAC done for that swelling..
And we can follow up with report..

Hope this helps you, in case you have any further questions please feel free to ask.
Or, you can close the question and rate..

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr Manjunath Metri (6 hours later)

Isn't it true that there is a high % of false positives from FNAC's. (I assume that is a needle biopsy.) What is the best and accurate biopsy?

Answered by Dr. Dr Manjunath Metri (12 minutes later)

Brief Answer:
Fnac first

Detailed Answer:
Hello, welcome back..

Yes, definitely biopsy is better but its invasive and little morbid compared to fnac.

If there's something abnormal on fnac then next step is biopsy.
So please get fnac first..

Hope this helps you..
Take care..

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Above answer was peer-reviewed by : Dr. Kampana