Abdominal Lumps: Diagnosis, Treatment, and Follow-Up Care

Follow-up observation for abdominal mass?

On the left side of the abdomen (above the navel, directly below the right chest), a hard lump approximately 1 cm in size has appeared over the past month.
It is not painful or itchy, has normal skin color, and does not hurt when pressed; it is just slightly raised in appearance.
After examination by a dermatologist, it was noted to be superficial in the skin but not typical of a traditional lipoma.
It is "possibly" a bacterial infection or a fibrous cyst.
The doctor mentioned that if it does not continue to grow, it can be coexisting peacefully (as the doctor stated), and only prescribed a topical ointment.

I have several questions:
1.
If it is indeed a bacterial infection, how should I care for it daily and prevent reinfection?
2.
Will it disappear on its own? Is there a way to eliminate it with medication?
3.
Is it really possible to leave it alone and coexist peacefully?
4.
If I want to pursue further evaluation, should I see an oncologist or a surgeon? (If it’s a surgeon, which specialty is better: general surgery or plastic surgery?)
5.
Is surgical removal necessary? If surgery is required, will it be under local anesthesia? Will hospitalization be needed?
I have many questions because I am somewhat concerned about the possibility of a malignant condition.
Thank you for your assistance.

Wei, 20~29 year old female. Ask Date: 2019/07/10

Dr. Chen Jiaming reply Surgery

1.
If it is a simple skin infection (which is rare), applying an antibiotic ointment may improve the condition.
If it is a sebaceous cyst, monitor for any signs of redness, swelling, heat, or pain; if these symptoms occur, seek medical attention immediately.
2.
Please observe for changes; if there are no changes, then there is no issue.
If there are changes, consult a physician again (dermatology or surgery).
3.
Oncology is a specialty in internal medicine that deals with cancer.
For superficial tumors, please consult a general surgeon.
4.
Based on your description, there is currently no indication for surgery; however, if you are particularly concerned, that can also be considered an indication.
Superficial tumors can typically be treated with local anesthesia, and hospitalization is not necessary.
The likelihood of malignancy is very low, but neglecting any changes could lead to regret.
If you choose to monitor conservatively, you can take photos with your phone to document the current state for future comparison.

Reply Date: 2019/07/10

More Info

When it comes to understanding abdominal lumps, particularly those that appear as hard masses under the skin, it's essential to approach the situation with a thorough understanding of potential causes, diagnosis, and treatment options. Based on your description of a 1 cm hard lump located in the left abdominal area, which is not painful or itchy, there are several considerations to keep in mind.

1. Possible Causes: The lump could be a variety of conditions, including a benign cyst, a lipoma (fatty tumor), or a fibroma. The dermatologist's suggestion of a possible bacterial infection or fibrous cyst is plausible, especially if there are no other symptoms like pain or inflammation. Infections can sometimes present as lumps, but they typically come with other signs such as redness, warmth, or tenderness.

2. Self-Care and Prevention: If the lump is indeed related to a bacterial infection, maintaining good hygiene is crucial. This includes keeping the area clean and dry, avoiding tight clothing that may irritate the skin, and monitoring for any changes in size or symptoms. If the lump is a cyst or fibroma, there are no specific preventive measures, but regular check-ups can help monitor its status.

3. Will It Disappear?: In some cases, benign lumps can resolve on their own, particularly if they are related to minor infections or inflammation. However, if it is a cyst or fibroma, it may not disappear without intervention. Topical treatments may help with superficial infections, but they are unlikely to eliminate deeper cysts or fibromas.

4. Living with the Lump: Your dermatologist's advice to "live peacefully" with the lump is valid if it is not causing any discomfort or functional issues. However, it is essential to keep an eye on it for any changes in size, shape, or symptoms, as these could indicate a need for further evaluation.

5. Follow-Up Care: If you wish to pursue further evaluation, you should consider consulting with a general surgeon or a surgical oncologist. A general surgeon can assess the lump and determine if it requires removal or further investigation. If there is a concern about malignancy, a surgical oncologist may be more appropriate.
6. Surgical Considerations: If surgery is deemed necessary, the procedure would typically be performed under local anesthesia, especially if the lump is small and superficial. In some cases, outpatient surgery may be possible, meaning you would not need to stay in the hospital overnight. The decision for surgery will depend on the lump's characteristics, your overall health, and the surgeon's recommendation.

In summary, while the lump you described may not be a cause for immediate concern, it is essential to monitor it and maintain regular follow-ups with your healthcare provider. If you notice any changes or if it begins to cause discomfort, seeking further evaluation is advisable. Always prioritize open communication with your healthcare team to address any concerns you may have about the lump and its implications for your health.

Similar Q&A

Understanding Vascular Tumors: Symptoms, Diagnosis, and Treatment Options

I have a palm-sized hard lump on the left side of my waist that sometimes hurts and sometimes doesn't. I was previously examined and it might be a hemangioma. I need to undergo further tests; which department should I consult for the most effective evaluation? What impact co...

Dr. Chen Sirong reply Oncology
FISH/16/1 Regarding your inquiry, in terms of the location, it should be addressed by general surgery or plastic surgery. If they are willing to perform the surgery, it should not have significant implications. The diagnosis of whether it is benign can only be confirmed post-surg...

Understanding Abdominal Masses: Symptoms and Specialist Guidance

Hello Doctor: My father has a hard lump on the side of his abdomen that he says has been present for many years without any pain. However, this lump has noticeably increased in size over the years. What could this indicate, and which specialty should he see for a diagnosis? Thank...

Dr. Chen Sirong reply Oncology
Hello: The likelihood of a benign tumor is higher, but it may also increase and potentially undergo malignant transformation. Generally, surgical or plastic surgery intervention is recommended. Sincerely, Dr. Chen Sih-Rong, Oncology.

Understanding Abdominal Lumps: When to Seek Further Medical Evaluation

Hello, I have been suffering from gastroesophageal reflux and bloating for a long time (but I have followed my doctor's advice and have not undergone an endoscopy). I regularly see my family physician, and my bowel movements occur every 2 to 3 days, starting with a complete ...

Dr. Huang Zhihui reply Surgery
Gastroesophageal reflux can be inferred through a patient interview, but a definitive diagnosis must be confirmed through endoscopy. According to health insurance regulations, an endoscopy report is required to prescribe specific medications for gastroesophageal reflux. As for ab...

Understanding Abdominal Masses: Causes and Concerns

I would like to ask the doctor, today I suddenly noticed a small lump on the right side of my navel, about the size of a one-centimeter round ball. It hurts when I press it lightly, and it also hurts when I apply more pressure. I'm not sure what the issue could be. It starte...

Dr. Zeng Guosen reply Internal Medicine
A friend online mentioned that an abdominal mass could be a sign of various conditions, ranging from skin lesions to intra-abdominal tumors. It is recommended to consult a gastroenterologist for a proper evaluation and diagnosis. Thank you.