Abdominal Lumps: What You Need to Know About Tumors - Oncology

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Palpating the abdomen reveals small nodules?


Hello doctor, three days ago I had stomach discomfort and went to see a doctor.
The doctor performed an abdominal ultrasound and said that the organs appeared normal.
Today, when I contracted my abdomen (very forcefully), I suddenly felt some lumps in the upper left and right abdomen.
The lumps on both sides feel somewhat symmetrical, but the left side feels more pronounced, with more lumps present.
Currently, I can feel about three lumps on the left and two on the right, roughly the size of a fingernail on my pinky.
I can only feel them when I press down and slide my hand over my abdomen.

1.
Is this normal?
2.
What could this be?
3.
If it were a tumor, would it be detectable on an abdominal ultrasound?
Thank you, doctor.

A, 20~29 year old female. Ask Date: 2022/06/15

Dr. Hu Ziren reply Oncology


It may just be some benign tumors under the skin (such as lipomas, localized calcified tissue, etc.), and observation is recommended.

Reply Date: 2022/06/15

More Info


Understanding abdominal lumps can be a source of anxiety for many individuals, especially when they discover unusual masses or nodules in their abdomen. Based on your description, it seems you have recently experienced discomfort in your stomach and subsequently noticed lumps in your upper abdomen. Let’s address your questions one by one.

1. Is this normal?
It is not uncommon for individuals to feel lumps or nodules in their abdomen, especially when they are actively palpating the area. However, the presence of lumps can indicate various conditions, ranging from benign to potentially serious. The fact that you noticed these lumps after experiencing discomfort suggests that it would be prudent to follow up with a healthcare professional for further evaluation.
2. What could these lumps be?
The lumps you are feeling could be several things. They might be benign structures such as lipomas (fatty tumors), cysts, or even normal anatomical structures like the liver or spleen that can sometimes be felt in thin individuals. However, they could also represent more concerning issues such as tumors or enlarged lymph nodes. Given that you mentioned they are symmetrical and more pronounced on the left side, it could be worth considering the possibility of organ enlargement or other pathological changes.
3. Can an abdominal ultrasound detect tumors?
Yes, abdominal ultrasound is a useful imaging tool that can help identify tumors or other abnormalities in the abdominal cavity. It is particularly effective for visualizing solid masses, cysts, and organ enlargement. However, the sensitivity of ultrasound can vary depending on the size and location of the tumor. Smaller tumors or those located deep within the abdominal cavity may not be easily detected. If the ultrasound performed by your doctor did not reveal any abnormalities, it may be necessary to consider further imaging studies, such as a CT scan or MRI, which can provide more detailed information about the abdominal structures.

Given your symptoms and the discovery of lumps, I recommend that you schedule a follow-up appointment with your healthcare provider. They may suggest additional imaging studies or tests to determine the nature of these lumps. It is also essential to discuss any other symptoms you may be experiencing, such as pain, changes in appetite, weight loss, or changes in bowel habits, as these can provide valuable information for diagnosis.

In summary, while feeling lumps in the abdomen can be concerning, it is essential to approach the situation with a clear plan. Follow-up with your healthcare provider for a thorough evaluation, and do not hesitate to ask questions or express your concerns during your appointment. Early detection and diagnosis are key to managing any potential health issues effectively.

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