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Suggest Treatment For Pain And Swelling On Collarbone

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Posted on Mon, 15 Dec 2014
Question: Kind of you to ask! Thank you.
My collarbone knobs are painful and I have swelling on the other side of my neck to an already diagnosed 2cm parathyroid adenoma. My glands are also enlarged under my chin and I have intermittent pain in the soft tissue at the inside of my elbow and the inside of my knee on the side of the swollen neck gland.
A chest X-ray has ruled out any chest lymphadenopathy, but the ends of my clavicles nearest the sternum look a bit spindly and strange on the X-ray. I am on a surgeon's list for removal of the parathyroid gland, but I worry about having an operation (even a minimally invasive one) if my neck glands are swollen.
doctor
Answered by Dr. Shehzad Topiwala (4 hours later)
Brief Answer:
Parathyroid

Detailed Answer:
I understand your concern.

I am sure you plan to share this with your surgeon too. If not, please do so.

To me, it does not seem to be an impediment to surgery in the parathyroid area. That being said, any swollen glands in the neck area merit thorough evaluation.

Kindly present your symptoms to your surgeon who will perform a comprehensive in-person examination and see if that mater needs to addressed first before proceeding with parathyroid surgery.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (23 minutes later)
Many thanks for your reply - it is much appreciated.
My surgeon's view when I saw him on Tuesday was along the lines of "let's get the PTH adenoma removed first and see what you are left with".
I have seen my GP again today to discuss the chest X-ray which he says reveals osteo-arthritis of the sterno-clavicular joint.
I myself think it is some type of inferior bone remodelling from having high calcium and PTH (max serum ca 2.73, XXXXXXX PTH 12 - but not from same blood draw) for so long (6-10 years, I believe).
I am reassured by your reply and will now press on to get a surgery date to have the adenoma removed.
My sincere thanks again for your reply. XXXXXXX Crisp.
doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
Best wishes
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Pain And Swelling On Collarbone

Brief Answer: Parathyroid Detailed Answer: I understand your concern. I am sure you plan to share this with your surgeon too. If not, please do so. To me, it does not seem to be an impediment to surgery in the parathyroid area. That being said, any swollen glands in the neck area merit thorough evaluation. Kindly present your symptoms to your surgeon who will perform a comprehensive in-person examination and see if that mater needs to addressed first before proceeding with parathyroid surgery.