A 26-year-old woman presents to the GP reporting she has found a hard, non-tender lump in her upper arm at the site of her etonogestrel implant. She h...

Question

A 26-year-old woman presents to the GP reporting she has found a hard, non-tender lump in her upper arm at the site of her etonogestrel implant. She had the implant inserted 2 years ago. On palpation, the implant is palpable in its usual location, but there is a separate 1 cm firm nodule adjacent to it. Which is the single most appropriate action?

Accepted Answer

This is a separate finding requiring investigation - arrange an ultrasound and consider referral to exclude a soft tissue lesion unrelated to the implant

Answer

Reassure - this is the implant itself

Answer

Remove the implant immediately

Answer

Prescribe antibiotics for a presumed infection

Answer

Ignore the lump unless it grows

uk-drcog MCQ (SBA): Separate Lump Near Implant - Investigation