Lymphoma: Concerns About Tumors and Surgical Risks - Oncology

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Lymphoma


Hello Doctor, my mom recently developed 3 to 4 tumors in her neck, one of which is particularly large and round.
The test results indicate that they are benign, but the doctor who examined her mentioned that there is a possibility of benign tumors becoming malignant and recommended surgical removal.
I am more concerned about whether cancer cells could spread if it were cancer, and whether such a surgery would be very risky.
I hope you can reply soon, thank you.

Xiao Bu, 10~19 year old female. Ask Date: 2004/04/26

Dr. Lin Zongzhe reply Oncology


Hello: Surgical resection is intended for more accurate diagnosis.
If those tumors are indeed malignant, removal will not cause issues with metastasis.
Additionally, benign tumors in this area generally do not raise concerns about malignant transformation.
Sincerely, Dr.
Lin Tsung-Che, Department of Oncology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/04/26

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your mother's recent diagnosis and the potential surgical intervention for her neck tumors. I understand that this is a challenging time for you and your family, and I hope to provide you with some clarity regarding the situation.

Firstly, it is important to note that the presence of tumors in the neck, particularly when they are described as large and round, can indeed raise concerns about their nature—whether benign or malignant. In your mother's case, the initial findings suggest that the tumors are benign; however, as you mentioned, there is a possibility that benign tumors can undergo changes and become malignant over time. This is particularly true for certain types of tumors, such as adenomas or lipomas, which can sometimes exhibit atypical features.

The recommendation for surgical removal of the tumor is a common approach, especially when there is uncertainty about the tumor's nature or if it is causing symptoms or cosmetic concerns. Surgical excision can provide definitive information through pathological examination of the tumor tissue, which can confirm whether it is benign or malignant.
Regarding your concerns about the potential for cancer cells to spread if the tumor is malignant, it is essential to understand that not all tumors behave the same way. Some tumors may have a propensity to metastasize (spread to other parts of the body), while others may remain localized. If a tumor is indeed malignant, the risk of metastasis depends on various factors, including the tumor type, grade, and stage at the time of diagnosis.
Surgical risks are an important consideration, and while any surgical procedure carries inherent risks, the specific risks associated with your mother's surgery will depend on several factors, including her overall health, the size and location of the tumor, and the complexity of the surgical procedure. Generally, neck surgeries can involve risks such as bleeding, infection, nerve injury, and complications related to anesthesia. However, experienced surgeons take precautions to minimize these risks and ensure the safety of the patient.

It is also worth mentioning that if the tumor is found to be malignant after surgery, there are various treatment options available, including chemotherapy, radiation therapy, or targeted therapies, depending on the specific type of cancer. Early detection and treatment can significantly improve outcomes.

In conclusion, while it is natural to feel anxious about the possibility of cancer and the associated risks of surgery, it is crucial to follow the recommendations of your mother's healthcare team. They will provide the best guidance based on her specific situation. I encourage you to discuss your concerns openly with her doctor, who can provide more detailed information about the surgery, its risks, and the potential next steps based on the pathology results.

Wishing you and your family strength during this time, and I hope for the best possible outcome for your mother.

Best regards.

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