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supraclavicular lyphadenopathy

I am a 36 year old female. Symptoms: pain and tightness on right side of neck, same tightness in my chest. Some numbness is my right hand and fingers. Night sweats, extremely thirsty. Loss of appetite. Stomach pains and nausea. Dry coughing. At times it is impossible to swollow and have to spit. Feels like right lung doesn't work like the left lung. Severe headaches. Extreme dizziness with spots when looking down and to the right. Went to ER because it felt like I was getting enough air. Said "lump found was very worrisome" scheduled appointment with a general surgeon per docs instructions. ER diagnosis was the last thing I said on the phone before we hung: supraclavicular lymphadenopathy. Was called back within 2 minutes with an earlier appointment. Anxiety is kickin in. Anyone have a clue? Should I be worried?
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Yes, supraclavicular lymphadenopathy is worrisome. Especially the ones larger than 1cm in diameter should be investigated thoroughly for cancers and granulomatous diseases. The right supraclavicular area receives drainage from the intrathoracic organs, whereas the left supraclavicular lymph nodes drain the abdomen. The supraclavicular lymph nodes also receive lymphatic drainage from the breasts. Hence the malignancies of these regions are possible. Tuberculosis, sarcoidosis, histoplasmosis, cat scratch disease and cryptococcosis are the other possibilities. I understand the anxiety and am glad you have an earlier appointment now. Do let me know if there is any thing else and keep me posted. Take care!
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Avatar universal
Thanks for your comment. It seems to be about 3-4cm. I am concerned because my little sister was just recently diagnosed with stage 4 lung cancer. It made its way to her brain. She is doing pretty good at this point. I just keep checking it hoping that one day it will just be gone. My appt is May 24th.
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Avatar universal
How did they diagnose your? What test or bloodwork did they do?
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Avatar universal
It was an Emergency Room diagnosis. Just that my right lung sounded very weak in comparrison to left. Asked me some questions about medical history and if family members have been diagnosed with cancer. I basically have to wait for my appt with general surgeon. All the er did was get me a little worried.
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Avatar universal
wow they gave you a diagnosis like that and they are not even certain of it. It could be many things. Just keep your head and please keep us informed of what the actual Doctor tells you..
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Avatar universal
Well, my reason for the er visit was the feeling that I was getting enough air. Like my right lung was not working like the left. The lump behind my right clavicle (collar bone) was something else, apparently. I was given a breathing treatment. the doc was waiting for a second opinion from another doc when they had an abulance come with a really bad car accident victim. So I was just given my paperwork instructing me to see the general srgn then released.
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Avatar universal
I meant to also say, supraclavicular simply denotes the location of the affected lymph node. Lymphodenopathy means that it is of an abnormal or swollen state. The next step is to find what caused it. Most common causes for a localized (just one node affected) Supraclavicular lymphadenopathy are: lung, retroperitoneal, or gastrointestinal cancer. I am sure they are not the only causes. Just supposedly the most most common cause.
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