Q: I am 35 years old male weighing about 77 kgs and about 5 ft 9 inches in height. There is slight lump formation on the left shoulder, not visible from the front. It is actually on the upper left hand corner on the back. This lump is growing very slowly for the last two years. There is no pain and I am not facing any problem due to it in my day to day activities, however I feel I have become slow in my work and less active. There is no change in my appetite, I eat good meals. Could the lump be any form of cancer?

A:From your description it is not clear what is the size of the lump nor have you mentioned whether it is soft or hard. The implications are completely different. If it is a soft lump just under the skin chances are it will be a lipoma. However, if it is hard then one needs to have it assessed. Your symptoms of slowness of work and decreased activity cannot be explained on the basis of this lump. You will have to consult a physician and get a physical checkup done for that. Particularly check for thyroid and diabetes. The lump should be assessed by an orthopaedic surgeon before any decision can be made.