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What Causes Painful Lump In The Right Thigh?
Question: I suffer from lymph oedema. About 2 years ago I suffered from very painful cramp in my right thigh. At this site I've developed a large lump, several inches across, approx 3", which is not painful, although mildly sore or aching at times. Would you be able to tell me what would cause this?
Brief Answer:
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/67 - visited Doctor - suffered from painful lump in the right thigh - 2 years ago - developed a large lump - approximately 3'' across - not painful - although mildly sore - aching at times - thinks of local lymphedema - wants to know what would cause this...
My thoughts with explanations:
- Localized lymphedema like this is not known to occur unless it is extension from below (leg and foot).
- Very painful cramp must have caused the muscle to form a large hematoma which remained organized to be palpable, the way you have explained.
Another possibilities are:
- Rupture of the muscle capsule to form a herniation of the muscles.
- diffuse lipomatosis
- Hemangioma and such rare causes also to be considered.
I would advise you the following in such a condition as the problem is 2 years old and you have a large lump that has persisted:
- High resolution Ultrasonography of the thigh along with color doppler mode will diagnosed at most of the times, rarely needing the MRI to confirm the diagnosis
- If a mass is found, you may insist for FNAC (fine needle aspiration cytology) to confirm the diagnosis.
- Clinical evaluation and examination by a General Surgeon will further help to get a confirmed diagnosis, correlate the investigations findings and to plan any treatment if required.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/67 - visited Doctor - suffered from painful lump in the right thigh - 2 years ago - developed a large lump - approximately 3'' across - not painful - although mildly sore - aching at times - thinks of local lymphedema - wants to know what would cause this...
My thoughts with explanations:
- Localized lymphedema like this is not known to occur unless it is extension from below (leg and foot).
- Very painful cramp must have caused the muscle to form a large hematoma which remained organized to be palpable, the way you have explained.
Another possibilities are:
- Rupture of the muscle capsule to form a herniation of the muscles.
- diffuse lipomatosis
- Hemangioma and such rare causes also to be considered.
I would advise you the following in such a condition as the problem is 2 years old and you have a large lump that has persisted:
- High resolution Ultrasonography of the thigh along with color doppler mode will diagnosed at most of the times, rarely needing the MRI to confirm the diagnosis
- If a mass is found, you may insist for FNAC (fine needle aspiration cytology) to confirm the diagnosis.
- Clinical evaluation and examination by a General Surgeon will further help to get a confirmed diagnosis, correlate the investigations findings and to plan any treatment if required.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can sarcoma be ruled out
Brief Answer:
Yes, it can
Detailed Answer:
Surely, yes. A combination of Ultrasound, preferably MRI as it gives better idea and FNAC and biopsy in doubtful cases will surely help to rule out sarcoma.
Yes, it can
Detailed Answer:
Surely, yes. A combination of Ultrasound, preferably MRI as it gives better idea and FNAC and biopsy in doubtful cases will surely help to rule out sarcoma.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you
Brief Answer:
You are most welcome.
Detailed Answer:
Thanks for your appreciation.
...
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
You are most welcome.
Detailed Answer:
Thanks for your appreciation.
...
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I found the information given both reassuring and informative. Much better than I had hoped for.
Brief Answer:
Thanks for your appreciation.
Detailed Answer:
Please give the feedback about the findings.
Thanks for your appreciation.
Detailed Answer:
Please give the feedback about the findings.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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