Concerns About Polyps and Tumors in My 11-Year-Old Daughter - Surgery

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A young girl has developed polyps/tumors in the rectum?


My daughter is 11 years old and has had small fibromas/polyps in her nasal passages since she was about 2 years old, with 2 to 3 of them present, one of which is larger, approximately 1 cm in size.
Several years ago, we had her examined by a pediatrician, who said it was not a major concern.
However, I am still a bit worried and would like to consult a doctor for further advice.

Miss Zhang, 40~49 year old female. Ask Date: 2019/03/21

Dr. Chen Jiaming reply Surgery


Skin tags, which are benign growths, generally do not require excessive concern if they do not continue to change or grow, causing cosmetic or other issues.
Moreover, since the child is young, it is advisable to wait until she is older to make her own decision regarding surgical removal if necessary.

Reply Date: 2019/03/21

More Info


When it comes to concerns about polyps or tumors in children, particularly in your 11-year-old daughter who has had small growths since she was around two years old, it's understandable to feel anxious. Here’s a comprehensive overview of what you should know regarding these conditions, their implications, and the best course of action.


Understanding Polyps and Tumors
1. Types of Growths: Polyps are typically benign (non-cancerous) growths that can occur in various parts of the body, including the skin, gastrointestinal tract, and respiratory system. Tumors, on the other hand, can be benign or malignant (cancerous). In children, most growths are benign, especially if they have been stable over time and have been evaluated by a healthcare professional.

2. Characteristics of Concern: The size, shape, and behavior of the growths are crucial in determining whether they are a cause for concern. A growth that has remained stable in size and does not exhibit any changes in color, shape, or texture is less likely to be problematic. However, any growth that increases in size, changes in appearance, or causes symptoms (like pain or discomfort) should be evaluated further.

3. Common Types of Benign Growths in Children: Common benign growths in children include:
- Seborrheic Keratosis: A non-cancerous skin growth that can appear as a brown, black, or light tan bump.

- Dermatofibromas: Firm, raised nodules that are usually harmless.

- Nevi (Moles): Common skin growths that can vary in size and color.


Recommended Actions
1. Regular Monitoring: Since your daughter has had these growths for several years without significant changes, regular monitoring is essential. Keep an eye on the size and appearance of the growths. If they remain stable, this is a good sign.

2. Follow-Up Appointments: It’s advisable to schedule regular check-ups with a pediatrician or a dermatologist. They can perform a physical examination and may recommend imaging studies or biopsies if there are any changes or concerns.

3. When to Seek Immediate Attention: If you notice any of the following changes, seek medical advice promptly:
- Rapid growth of the polyp or tumor.

- Changes in color or texture.

- Bleeding or discharge from the growth.

- Any associated symptoms such as pain, itching, or discomfort.

4. Consultation with Specialists: If there is any uncertainty or if the growths are causing concern, consider consulting a pediatric dermatologist or an oncologist who specializes in childhood tumors. They can provide a more detailed evaluation and, if necessary, recommend further testing or treatment options.


Psychological Considerations
It’s also important to address the emotional aspect of having a child with growths that may cause concern. Open communication with your daughter about her health can help alleviate anxiety. Encourage her to express her feelings and concerns, and reassure her that regular check-ups are a normal part of maintaining health.


Conclusion
In summary, while it’s natural to worry about your daughter’s health, especially with a history of growths, the likelihood of these being serious is low if they have remained stable and have been previously evaluated by a healthcare professional. Regular monitoring, follow-up appointments, and being vigilant for any changes are key steps in managing her health. If you have any further concerns, don’t hesitate to reach out to your healthcare provider for guidance and reassurance.

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