Benign Tumors: When to Monitor and When to Worry

Q: Benign Tumors: When to Monitor and When to Worry

Hello： Regarding the benign tumor that has been troubling you for many years, after reading your description, my opinion aligns with that of the other physicians. <br>Since there have been no significant changes and it is benign, it is best to leave it as is! You can follow up wi

What are the issues related to benign tumors?

Doctor, I have had a lump about 1.5 cm in size next to my Adam's apple for several years.
A physician examined it and described it as soft and mobile.
I also had a CT scan, and the doctor believed it to be a benign tumor, advising me to have regular check-ups every three months.
Since my last examination in March of this year, there have been no changes, and strictly speaking, there have been no changes for several years.
During the March visit, I also underwent a nasopharyngoscopy, which was normal.
However, I have been experiencing frequent gastrointestinal discomfort recently.
Over the past year and a half, I have had two or three gastroscopies, and I had a colonoscopy last year.
The gastroscopy showed only mild inflammation, while the colonoscopy was normal.
Therefore, the gastroenterologist believes that my gastrointestinal issues are unrelated to the benign neck tumor and are instead caused by my anxiety (diagnosed as health anxiety).

In summary, I have seen three ENT specialists.
Two of them, after examination, believe that observation and follow-up are sufficient and that surgery is unnecessary, as it could affect their future assessments.
They advised that if there are any changes, we can take action then, and I should not skip follow-ups.
One doctor suggested surgery (who is less experienced and is actually a student of one of the other two doctors).
Which doctor should I listen to? I recently consulted an oncologist, who also told me not to worry and that observation is sufficient.
I have heard that many health issues stem from stress, but I cannot completely alleviate the psychological pressure.
If you also believe that observation is sufficient, I plan to relax and continue with regular follow-ups.
I would like to seek your opinion on this matter.
Thank you.
Could you also explain the likelihood of a benign tumor becoming malignant? My lifestyle includes weight training, playing basketball, and I maintain a relatively balanced diet, rarely consuming fried or barbecued foods.
However, due to weight training, my dinner times can be irregular, and I do not sleep well (often not getting enough rest).

Luo Kairen, 20~29 year old female. Ask Date: 2018/08/24

Dr. Chen Yunfang reply Oncology

Hello: Regarding the benign tumor that has been troubling you for many years, after reading your description, my opinion aligns with that of the other physicians.
Since there have been no significant changes and it is benign, it is best to leave it as is! You can follow up with outpatient visits every six months.
The likelihood of a benign tumor becoming malignant is very low, but this is not absolute.
Just be mindful of any changes in size or hardness, and continue with regular check-ups.
Thank you for your inquiry!

Reply Date: 2018/08/24

More Info

When it comes to understanding benign tumors, particularly in the context of your situation with a neck mass, it's essential to consider several factors, including the characteristics of the tumor, the recommendations from healthcare professionals, and the psychological aspects that may influence your perception of health.

From your description, the tumor near your Adam's apple has been stable for several years, measuring approximately 1.5 cm, and has been assessed as soft and mobile during physical examinations. The fact that multiple ENT specialists have recommended monitoring rather than immediate surgical intervention is a positive sign. Generally, benign tumors, such as lipomas or certain types of cysts, do not exhibit aggressive behavior, and their risk of malignant transformation is relatively low. The stability of the tumor over several years further supports the likelihood that it is benign.

In terms of monitoring, regular follow-ups every three months, as suggested by your physician, are a standard approach for benign tumors. This allows for timely detection of any changes in size or characteristics that might warrant further investigation or intervention. The absence of symptoms or changes in the tumor's behavior is reassuring. However, it is also essential to listen to your body and communicate any new symptoms to your healthcare provider.

Regarding your gastrointestinal discomfort, it is understandable to feel concerned about the relationship between your neck mass and digestive issues. However, as your gastroenterologist has indicated, it is likely that your symptoms are unrelated to the neck tumor and may be influenced by stress or anxiety. Stress can significantly impact gastrointestinal health, leading to conditions such as gastritis or functional gastrointestinal disorders. It is crucial to address both your physical and mental health, as they are interconnected.

As for the differing opinions among the specialists you consulted, it is not uncommon in medical practice. The decision to observe versus operate can depend on various factors, including the physician's experience, the specific characteristics of the tumor, and the patient's overall health. In your case, since the majority of the specialists have recommended observation, it may be wise to follow their advice, especially given the tumor's stability and benign characteristics.

Regarding the risk of benign tumors becoming malignant, it varies depending on the type of tumor. Most benign tumors, such as lipomas or fibromas, have a very low risk of malignant transformation. However, certain benign tumors, like adenomas in the colon, can have a higher risk of progressing to cancer if not monitored. It is essential to have regular check-ups and imaging studies as recommended by your healthcare provider to ensure any changes are detected early.

In conclusion, based on the information provided, it seems prudent to continue with the monitoring plan established by your healthcare team. Focus on maintaining a healthy lifestyle, including regular exercise, a balanced diet, and managing stress, as these factors can contribute to overall well-being. If you have any concerns or notice changes in your symptoms or the tumor, do not hesitate to reach out to your healthcare provider for further evaluation. Your health is a priority, and staying informed and proactive is key to managing your condition effectively.

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