What causes hard lump and pain in shoulder and arm?
Patient: a hard lump after mastactomy with arm and shoulder pain what is it going for regular phisiotharapy and pain and pull in arm towards shoulder arm can put straight now visible hard kind of lump plese help alredy had surgery 1and half month back. Thank you Doctor: Hi,Dear,Good afternoon.Thanks for the query to my HCM online- clinic .I studied your query  in-depth.I  can understand your concerns for a recurrence after a surgery 1.5 mths back.-In my opinion the hard lump post mastectomy -is mostly - local-node-metastasis or could be recurrence of the breast tumour.I would advise -Pet scan with FDG-18 F-radiotracer which pinpoints lymphnodes mets , which may miss on CAT scan.FDG PET guided-FNAC Biopsy  would fix the recurrence of cancer in local infra-clavicular-left out-nodes.-Alert-A review with Onco-Surgeon for the steps to be taken with his advise is a must and urgently advisable in your case.-Hope this would resolve your worry-some query.Wellcome again to HCM .Have a good day.