Which Specialist to Consult for a Painful Abdominal Tumor?

Which department should I consult?

There is a hard lump in the lower right abdomen that was about 1 cm when first discovered.
It hurts even without pressure, and pressing on it causes significant pain.
The lump has grown to approximately 4-5 cm in size over the course of 3-4 days, and the pain has intensified.
Is there a high possibility that it is malignant? Which specialty should I see as soon as possible?

Mr. Huang, 20~29 year old female. Ask Date: 2021/10/14

Dr. Hu Ziren reply Oncology

It may just be inflammation; you can first consult an infectious disease specialist or a general surgeon.

Reply Date: 2021/10/14

More Info

If you have discovered a painful abdominal tumor, especially one that has rapidly increased in size from about 1 cm to 4-5 cm within a few days, it is crucial to seek medical attention promptly. The characteristics you describe—painful, hard, and rapidly growing—can be concerning and may indicate a serious underlying condition, including the possibility of malignancy.

The first step in addressing your concerns should be to consult a specialist in Gastroenterology or General Surgery. A gastroenterologist specializes in diseases of the gastrointestinal tract, which includes the stomach, intestines, and other related organs. They can perform necessary diagnostic tests such as imaging studies (ultrasound, CT scan, or MRI) to evaluate the mass and determine its nature. If the tumor is found to be related to the gastrointestinal system, they may manage your care or refer you to a surgeon.

Alternatively, a general surgeon is also well-equipped to evaluate and manage abdominal masses. They can perform a physical examination, order imaging studies, and if necessary, perform a biopsy to determine whether the tumor is benign or malignant. If surgery is indicated, a general surgeon would be the one to perform the procedure.

In addition to these specialists, if there is a suspicion of cancer, you may also be referred to an Oncologist. An oncologist specializes in cancer treatment and can provide further evaluation and management options if the tumor is found to be malignant.

It is important to act quickly, as early diagnosis and treatment can significantly affect outcomes, especially in cases of cancer. The rapid growth of the tumor and the associated pain are red flags that should not be ignored.
While waiting for your appointment, keep track of any additional symptoms you may experience, such as changes in appetite, weight loss, fever, or changes in bowel habits, as these can provide important information to your healthcare provider.

In summary, you should seek immediate consultation with a Gastroenterologist or General Surgeon. They will be able to assess your condition, perform necessary diagnostic tests, and guide you through the next steps in your care. Prompt action is essential in addressing potential malignancies and ensuring the best possible outcome.

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