Should You Get Your Abdominal Lumps Checked? Here's What to Know - Oncology

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Abdominal mass


Hello Doctor: Recently, I have felt two hard lumps about 1 cm in size on the right side of my abdomen.
They are not visible from the outside and can only be felt upon touch, resembling a cord with a bulge in the middle.
If I press down a bit harder, it feels somewhat uncomfortable.
Should I get this checked? Which department should I visit?

FF, 20~29 year old female. Ask Date: 2023/04/25

Dr. Chen Sirong reply Oncology


FF / 26 years old / Male General Surgery Dr.
Chen Si-Rong, wishing you peace of mind and well-being.

Reply Date: 2023/04/25

More Info


When it comes to abdominal lumps, especially those that are palpable but not visible, it is essential to take them seriously. The presence of lumps in the abdomen can be indicative of various conditions, ranging from benign issues to more serious concerns. Given your description of two hard lumps on the right side of your abdomen that are approximately 1 cm in size and cause discomfort when pressed, it is advisable to seek medical evaluation.


Why You Should Get Checked
1. Potential Causes: Abdominal lumps can arise from several sources, including:
- Lipomas: These are benign tumors made of fat tissue. They are generally harmless but can be removed if they cause discomfort or grow larger.

- Cysts: Fluid-filled sacs that can develop in various organs, including the liver, kidneys, or even within the abdominal wall.

- Hernias: A protrusion of an organ or tissue through an abnormal opening, which can sometimes feel like a lump.

- Lymph Nodes: Enlarged lymph nodes can sometimes be felt in the abdomen, especially if there is an underlying infection or inflammation.

- Tumors: While less common, both benign and malignant tumors can present as lumps in the abdomen.

2. Symptoms to Monitor: Besides the lumps, you should also be aware of any accompanying symptoms such as:
- Pain or discomfort in the area
- Changes in bowel habits
- Unexplained weight loss
- Fever or night sweats
- Changes in appetite
3. Importance of Early Detection: Early evaluation and diagnosis are crucial. If the lumps are benign, you can have peace of mind. However, if they are indicative of a more serious condition, early intervention can significantly improve outcomes.


Which Specialist to See
For your situation, you should consider scheduling an appointment with a gastroenterologist or a general surgeon. A gastroenterologist specializes in digestive system disorders and can evaluate any gastrointestinal causes of your symptoms. A general surgeon can assess the lumps and determine if surgical intervention is necessary.


Recommended Diagnostic Steps
1. Physical Examination: The doctor will perform a thorough physical examination to assess the lumps and any associated symptoms.

2. Imaging Studies: Depending on the initial findings, the doctor may recommend imaging studies such as:
- Ultrasound: This is often the first step in evaluating abdominal lumps. It can help differentiate between solid and fluid-filled masses.

- CT Scan: A more detailed imaging study that can provide comprehensive information about the abdominal organs and any masses present.

3. Biopsy: If a lump appears suspicious, a biopsy may be necessary to determine its nature.


Conclusion
In summary, given the presence of two hard lumps in your abdomen that cause discomfort, it is prudent to seek medical evaluation. Early diagnosis can help rule out serious conditions and provide peace of mind. Make an appointment with a gastroenterologist or general surgeon, and be prepared to discuss your symptoms and any changes you have noticed. Your health is paramount, and addressing these concerns promptly is the best course of action.

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