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Knot on the body for over 20 years.

Dear doctors,

I am now 33 years old and have had nodules in various parts of my body (under the jaw, behind the ear, on the thigh, etc.) for over 20 years. Some of the nodules can be moved, while others (on the thigh, for example) cannot. The nodules are all located directly under the skin.

The first nodules appeared over 20 years ago, and occasionally new ones appear. Some of the few that originally appeared (on the neck and throat) have now completely disappeared.

I have never been to the doctor because of this. As a child, I didn't see any reason to, and later on, I kept pushing it away. I know this is not a solution, but that's just how it is.....there have also been cases of cancer in my family. My father had kidney cancer 10 years ago, thankfully in full remission and now smoking again at 70 years old ;-) My mother had DCIS in her breast discovered and removed three months ago, so of course, it makes me think.

The time that has passed since the first appearance somehow always reassured me. I don't actually have any health problems, aside from being overweight (I weigh about 110 kg and am 180 cm tall), which sometimes causes me back pain due to my office job.

From a medical point of view, how likely is it that it could be a malignant illness, or could it be something harmless like various lipomas? They don't seem to be growing at all, and actually seem to be getting smaller over time...?

Dr. med. Christoph Schmülling

Dear inquirer,

the likelihood of a malignant cause of the changes you described tends towards zero. You are describing changes that you have been observing for over 20 years - a malignant disease does not take that long to develop. Your suspected diagnosis of multiple lipomas is the most likely. However, internet diagnoses are just as unreliable as phone diagnoses - you should give your general practitioner the opportunity to take a look at the changes. An ultrasound examination of the changes would certainly not hurt. In the case of (unlikely) suspicious findings, it would also be advisable to remove and examine a node, but only if the typical diagnosis of a lipoma cannot be made. So - make an appointment with your trusted doctor and take your time.

Wishing you all the best.

Kind regards,

Dr. med. Christoph Schmülling

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Experte für General medicine

Dr. med. Christoph Schmülling

Dr. med. Christoph Schmülling

Köln

Internist seit 1998, Oberarzt mit Schwerpunkt Intensivmedizin bis Ende 2003, Niederlassung 2004 in einer allgemeinmedizinisch-internistischen Gemeinschaftspraxis in Köln,
Porz-Urbach.

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