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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Noticing Bruise Spine, Neck, Supraclavicular Lump, Thickening Sternum, Lump Neck Base. Did Ultrasound, Blood Investigation, Have Follicular Lymphoma

I'm a follicular lymphoma patient, currently doing the Rituxan maintenance program at the one-year point. Just now noticing some bruising at my lower spine and the neck, seeming only from stretching moves at yoga. Now I have also developed some large cyst-like lumps supraclavicular (Rt) with a thickening over the sternum and a lump creeping up the base of my neck (rt side). My doc is getting ultrasound done and asking my hematologist to review. Might it be cardiovascular instead - blood clots? My platelets and white blood cells have recently dropped, first time, to the lower end of 'normal range'. I'm concnered what this means...
Wed, 26 Jun 2013
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General & Family Physician 's  Response
Hello.
Thanks for the query to H.C.M. Forum.
May be dermoid cysts, sebaceous cyst or hematoma due to fall of platelets count as you mentioned in your query.
When platelets decreases in number than there develops bleeding at various site.
If this bleeding is underneath skin than there become swelling and we call as lump formation.
However this hematoma like lumps resolves within a short period.
What is the reason of lowering of platelets and w b C?
Assessment of these two parameters are very important ,so consult a physician and get his opinion.
Consult surgeon for lumps.
Good luck.
Dr. HET
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Noticing Bruise Spine, Neck, Supraclavicular Lump, Thickening Sternum, Lump Neck Base. Did Ultrasound, Blood Investigation, Have Follicular Lymphoma

Hello. Thanks for the query to H.C.M. Forum. May be dermoid cysts, sebaceous cyst or hematoma due to fall of platelets count as you mentioned in your query. When platelets decreases in number than there develops bleeding at various site. If this bleeding is underneath skin than there become swelling and we call as lump formation. However this hematoma like lumps resolves within a short period. What is the reason of lowering of platelets and w b C? Assessment of these two parameters are very important ,so consult a physician and get his opinion. Consult surgeon for lumps. Good luck. Dr. HET