Why Tumors Develop: Exploring Genetic and Health Factors - Oncology

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Why is it easy to develop tumors?


Since being diagnosed with a benign chondroma at the age of 23, I have subsequently been found to have fibromas, a breast adenoma, ovarian cysts, and two enlarged inflamed lymph nodes in the neck.
Could this be due to my constitution? There are three breast adenomas measuring 0.5, 0.8, and 0.6 cm, and there is also a small lump above my knee.
Do I need to undergo any further examinations?

Qiu, 20~29 year old female. Ask Date: 2017/10/20

Dr. Chen Yunfang reply Oncology


Hello: According to statistics, the leading cause of death in Taiwan is cancer, which means that most people are likely to die from cancer in the end, although we do not know at what age this will happen.
No one can guarantee that we will be alive and well tomorrow.
Do you currently have any "malignant" cancer? If not, then regardless of how many benign tumors you are told you have, they are not cancer.
So why be so anxious and scrutinize every part of your body? Just because you don't have cancer now doesn't mean you won't develop it next month.
Continuously checking for it can be endless.
Please focus on living each day well; no one can control what will happen tomorrow.
Thank you.

Reply Date: 2017/10/20

More Info


Understanding why tumors develop is a complex issue that involves a combination of genetic, environmental, and lifestyle factors. In your case, the presence of multiple benign tumors such as chondromas, fibromas, breast adenomas, ovarian cysts, and enlarged lymph nodes raises important questions about potential underlying causes.

Firstly, it is essential to understand that benign tumors are not cancerous. They do not invade surrounding tissues or metastasize to other parts of the body, which is a hallmark of malignant tumors. However, the occurrence of multiple benign tumors can sometimes indicate a predisposition to developing tumors, whether benign or malignant, due to genetic factors or other health conditions.

Genetic predisposition plays a significant role in tumor development. Certain hereditary syndromes, such as Li-Fraumeni syndrome or Cowden syndrome, can increase the risk of developing various types of tumors. If there is a family history of tumors or cancers, it may be worth discussing genetic counseling and testing with a healthcare provider. This can help identify any inherited genetic mutations that may contribute to your tumor development.

In addition to genetic factors, environmental influences and lifestyle choices can also contribute to tumor formation. For instance, exposure to certain chemicals, radiation, or chronic inflammation can increase the risk of developing tumors. In your case, the presence of multiple benign tumors may suggest a possible underlying condition that warrants further investigation.

Regarding your specific situation, the presence of breast adenomas and other benign tumors does not necessarily mean that you will develop cancer. However, it is crucial to monitor these growths regularly. The sizes of the breast adenomas you mentioned (0.5, 0.8, and 0.6 cm) are relatively small, but regular follow-up with imaging studies, such as mammograms or ultrasounds, is advisable to ensure they do not change in size or appearance.

For the knee lump you mentioned, it would be prudent to have it evaluated by a healthcare professional. Imaging studies, such as an ultrasound or MRI, can help determine the nature of the lump and whether any further action is necessary.
In summary, while your body may have a predisposition to developing benign tumors, it is essential to approach this situation with a balanced perspective. Regular monitoring and communication with your healthcare provider are key to managing your health. If you have concerns about your family history or genetic predisposition, consider discussing these with a genetic counselor. They can provide personalized insights and recommendations based on your specific circumstances. Remember, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding known carcinogens, can also play a role in reducing your overall risk of developing tumors.

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