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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Painful, Growing Hump On Back Of Neck Indicate?

i have had this hump on the back of my neck for sometime now, and i see the elderly with a similar hump on their necks. But it creates severe pain for me at times and so i went to my family doctor andhe said it was a dowagers hump and had me get an MRI then he said it was just fat. But if its just fat then why am i in such terrible pain and why does it get bigger over the years? and could my doctor wrong?
Thu, 11 Sep 2014
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General & Family Physician,  's  Response
Welcome to Health care magic.

1.History suggest that the lump / lesion in the back of the neck - possibilities could be a lipoma ( fat content ) or a spinal involving lesion.
2.I would recommend you to get an ultrasound examination of the lesion - that will help in identification of the lesion sours and its nature ( solid , cystic, tubular, mixed) and where all the lesion extending.
3.MRI is definitive investigation of choice - its very good in anatomical delineation and spinal related pathologies.
4.Any one can be get wrong before getting its imaging findings.
5.An FNAC - fine needle aspiration cytology might be needed for histology findings - nature of cells.
6.After all these - if safe to excise - excision is treatment of choice. Good luck.

Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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What Does Painful, Growing Hump On Back Of Neck Indicate?

Welcome to Health care magic. 1.History suggest that the lump / lesion in the back of the neck - possibilities could be a lipoma ( fat content ) or a spinal involving lesion. 2.I would recommend you to get an ultrasound examination of the lesion - that will help in identification of the lesion sours and its nature ( solid , cystic, tubular, mixed) and where all the lesion extending. 3.MRI is definitive investigation of choice - its very good in anatomical delineation and spinal related pathologies. 4.Any one can be get wrong before getting its imaging findings. 5.An FNAC - fine needle aspiration cytology might be needed for histology findings - nature of cells. 6.After all these - if safe to excise - excision is treatment of choice. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.