Tumors: Insights on Growths and Health Concerns

Protrusion

Hello Dr.
Yang,
1.
I have recently discovered a protrusion approximately 3 cm in diameter located centrally below the sternum (at the junction of the ribs on both sides).
This has been present for over six months.
For the past ten years, I have occasionally experienced pain radiating from the junction of the ribs in the chest to the back, sometimes accompanied by pain in both lower jaws.
A doctor previously diagnosed me with neurogenic gastritis, but the pain has decreased in recent years.
2.
There is also a protrusion in the central area of my back (approximately 3 cm in size), which I have noticed for 1-2 years, but it does not cause any discomfort.
3.
Recently, I have discovered a protrusion in my right groin.
Could this be related to a long-standing athlete's foot issue in my right foot?
4.
Twenty years ago, I found several small protrusions on my thigh, which were surgically removed and diagnosed as benign lipomas.
5.
Around the age of 15, I experienced sudden swelling on both sides of my neck.
My parents sought treatment through "barefoot doctor's secret acupuncture," and the swelling subsided without recurrence.
My younger brother has had multiple tumors in his neck for over ten years that have not resolved; could this indicate a familial predisposition?
6.
I have had a white ulcer on the mucosa of my right cheek for many years, but it has not enlarged.
Could this be due to long-term irritation from my teeth?
7.
I have been smoking for about 25 years without experiencing chronic cough or other symptoms.
Would quitting smoking now be beneficial for my health?
I have been living abroad for many years, making it difficult to seek medical care.
I apologize for the many questions and appreciate your guidance.
Thank you! Wishing you peace and health,
Chen Wei-Hsiang

Chen, 40~49 year old female. Ask Date: 2000/12/06

Dr. Yang Youhua reply Oncology

The concern you raised seems to be about the possibility of a malignant tumor; however, based on your description, the lump does not appear to be malignant.
The lump in the right groin may be related to a tinea infection, and since your brother is also experiencing a similar lump, it seems to be associated with a genetic predisposition.
If you have concerns about the lump on your body, you should consult a physician to evaluate whether further examination is necessary.
Regarding the white ulcer on the right buccal mucosa, if you have been chewing betel nut, you should see an oral surgeon to assess whether it is leukoplakia (which is caused by precancerous cellular changes).
Quitting smoking will undoubtedly benefit your overall health, and I wish you success in your efforts to quit!

Reply Date: 2000/12/06

More Info

Dear Chen Wei-Xiang,
Thank you for your detailed inquiry regarding your health concerns and the various growths you have experienced over the years. It’s understandable to feel anxious when faced with multiple tumors or growths, especially when they have been diagnosed at different times and in various locations on your body. Let’s break down your concerns and provide some insights based on medical knowledge.

1. Tumors and Growths: The growths you mentioned, such as the one located at the junction of your ribs and the one on your spine, could be benign tumors like lipomas or other soft tissue tumors. Given that you have a history of benign lipomas, it is possible that these new growths are similar. However, any new or changing mass should be evaluated by a healthcare professional to rule out malignancy, especially if they are symptomatic or growing.

2. Pain and Symptoms: The pain you experience in your chest and back could be related to several factors, including musculoskeletal issues or nerve-related pain. The diagnosis of "neurogenic gastritis" suggests that your symptoms may have a neurological component, but it is essential to consider other potential causes, including referred pain from the chest wall or spine.

3. Inguinal Region Growth: The new lump in your right groin could be related to various conditions, including lymphadenopathy, hernias, or even a lipoma. Chronic skin conditions like athlete's foot (Hong Kong foot) can lead to secondary infections or inflammation, but they are unlikely to directly cause a tumor. A thorough examination by a physician is necessary to determine the nature of this growth.

4. Family History and Genetic Factors: Your mention of family history regarding neck tumors raises an important point about genetic predispositions to certain types of tumors. Some benign tumors can have a hereditary component, and it may be worthwhile to discuss this with your healthcare provider, especially if your brother has persistent growths.

5. Oral Lesions: The white ulcer on your right buccal mucosa could be due to chronic irritation from your teeth, but it’s essential to have it evaluated, especially if it has been present for an extended period. Oral lesions that do not heal or change in appearance should be assessed to rule out any serious conditions.

6. Smoking and Health: Smoking is a significant risk factor for various health issues, including respiratory diseases and cancers. Quitting smoking can lead to substantial health benefits, including improved lung function, reduced risk of cancer, and overall better health outcomes. It’s commendable that you are considering quitting, and I encourage you to seek support to help you through this process.

7. Follow-Up and Monitoring: Given your history of various tumors and growths, regular follow-ups with a healthcare provider are crucial. Imaging studies, such as ultrasounds or CT scans, may be warranted for monitoring any concerning growths. Additionally, if any growths change in size, shape, or symptoms, they should be evaluated promptly.

In conclusion, while many of the growths you have described may be benign, it is essential to maintain regular check-ups and communicate any changes to your healthcare provider. Early detection and monitoring are key to managing any potential health issues effectively. I encourage you to seek medical advice for a comprehensive evaluation and to discuss your concerns in detail with a physician who can provide personalized care.

Wishing you good health and peace of mind.

Best regards,
Doctor Q&A Teams

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