Spleen Growth: Health Concerns and Next Steps - Gastroenterology and Hepatology

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Two days ago, I was diagnosed with a growth on my spleen?


I went for a health check-up the day before yesterday and found that there is an additional mass on my spleen.
The doctor advised me to go to the outpatient clinic for a detailed examination, but due to work commitments, I may have to wait until next month to see a doctor.
I'm unsure if this will affect my health.
I would like to know if such issues typically require surgery or if medication is sufficient.
Additionally, I have been experiencing intermittent pain in my lower right abdomen recently.
Could this be related to the spleen? I am feeling a bit anxious, and my family is also quite worried.
I hope this is not a sign of cancer.
I need assistance from a physician.
Thank you.

Oriol, 20~29 year old female. Ask Date: 2004/03/11

Dr. Yang Peizhen reply Gastroenterology and Hepatology


Hello: The additional mass on the spleen is likely referred to as an accessory spleen, which is considered a normal variation; some individuals simply have an extra small piece of splenic tissue.
However, if there is a tumor within the spleen, that is a different matter and further investigation is necessary to determine its nature! Generally, splenic diseases do not present with discomforting symptoms.
Sincerely, Dr.
Yang Pei-Chen, Director of the Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/03/11

More Info


When it comes to concerns about the spleen, it's important to understand its role in the body and the implications of any abnormalities detected during a health check. The spleen is a vital organ that plays a crucial role in filtering blood, recycling iron, and supporting the immune system. It can sometimes develop conditions such as splenomegaly (enlargement of the spleen) or the formation of masses or lesions, which may be benign or malignant.

Given that your health check revealed an abnormality in your spleen, it is understandable to feel anxious, especially with accompanying symptoms like intermittent pain in your lower right abdomen. However, it's essential to approach this situation with a clear understanding of what the findings might mean.

Firstly, the presence of a "lump" or abnormal growth on the spleen does not automatically indicate cancer. Many benign conditions can cause changes in the spleen, such as cysts, hemangiomas (benign vascular tumors), or even splenic infarcts (areas of dead tissue due to lack of blood supply). The pain you are experiencing in your lower right abdomen may or may not be related to the spleen. It could stem from other gastrointestinal issues, muscle strain, or even referred pain from other organs.

The next steps typically involve further diagnostic imaging, such as an ultrasound or CT scan, to better characterize the mass and assess the spleen's overall condition. These imaging studies can provide valuable information about the size, shape, and nature of the abnormality, helping your healthcare provider determine the appropriate course of action.

As for treatment, it largely depends on the findings from these additional tests. If the mass is determined to be benign and not causing any significant symptoms or complications, it may simply be monitored over time without the need for surgery. In some cases, if the mass is causing discomfort or if there is a suspicion of malignancy, surgical intervention may be necessary to remove the spleen or the affected portion of it.

In the meantime, it is crucial to manage your anxiety and maintain open communication with your healthcare provider. If your symptoms worsen or if you experience new symptoms such as fever, significant abdominal pain, or changes in appetite, you should seek medical attention promptly.

While waiting for your follow-up appointment, focus on maintaining a healthy lifestyle, including a balanced diet and regular exercise, which can support your overall health and immune function. Avoid self-diagnosing or jumping to conclusions about the nature of the mass; instead, rely on the expertise of your healthcare team to guide you through this process.

In summary, while it is natural to feel concerned about the findings related to your spleen, many factors can influence the situation. Further evaluation will provide clarity and help determine the best course of action. Remember, early detection and appropriate management are key to addressing any health concerns effectively.

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