Is surgery necessary for a sarcoma on the hand?
I have a lump on my hand that has been there for over two months.
I saw a doctor yesterday, and he said it is a sarcoma (or possibly a fibroma, I can't quite remember).
Do I definitely need surgery? If I don't have surgery, will it be harmful to my body? What causes sarcomas (or fibromas) to develop? If I have surgery, is there a chance it could recur?
lisa, 20~29 year old female. Ask Date: 2004/07/27
Dr. Chen Xingyuan reply Orthopedics
Dear Ms.
Lisa,
There are many reasons why tumors may develop in the hand, including genetic and environmental factors, but in most cases, the exact cause is unclear.
Whether a tumor in the hand requires surgical excision depends on whether it is gradually increasing in size or causing any discomfort.
If there is a noticeable increase in size or the presence of symptoms, surgical removal is certainly warranted.
Some tumor cells can easily recur or invade nearby tissues, which can be harmful if not surgically excised.
However, some tumors grow very slowly and can coexist without issues for decades; such tumors do not require immediate surgical intervention and can be monitored for a while.
It is advisable to consult a physician to determine whether surgical excision is necessary or if observation is appropriate.
If surgery is performed, be sure to ask the physician about the pathology report results and the likelihood of tumor recurrence.
Wishing you health and peace!
Sincerely,
Dr.
Chen
July 29, 1993
Reply Date: 2004/07/27
More Info
When it comes to a muscle tumor on your hand, whether it requires surgery depends on several factors, including the type of tumor, its size, growth rate, and any associated symptoms. Muscle tumors can be benign or malignant, and the treatment approach varies accordingly.
Firstly, it's essential to clarify the distinction between a muscle tumor (which could refer to a soft tissue sarcoma) and a ganglion cyst or a lipoma, which are more common and typically benign. If your doctor has diagnosed it as a muscle tumor, they may be referring to a type of soft tissue sarcoma, which can be more serious.
In general, if the tumor is growing, causing pain, or affecting your hand's function, surgery is often recommended. Surgical removal is typically the most effective way to ensure that the tumor is completely excised and to prevent recurrence. If left untreated, certain types of tumors can invade surrounding tissues or metastasize, leading to more severe health issues. Therefore, if your tumor is indeed a malignant muscle tumor, not having surgery could pose significant risks to your health.
On the other hand, if the tumor is small, asymptomatic, and stable, your doctor might suggest a watchful waiting approach. This means monitoring the tumor over time to see if it changes. Some benign tumors can remain unchanged for years without causing any problems, and in such cases, surgery may not be necessary.
As for the causes of muscle tumors, the exact reasons are often unclear. Factors such as genetic predisposition, environmental influences, and previous injuries may play a role. However, many tumors arise without any identifiable cause.
Regarding the possibility of recurrence after surgery, it largely depends on the tumor's nature. Benign tumors, once completely excised, typically do not recur. However, malignant tumors have a higher chance of returning, especially if the initial surgery did not remove all cancerous cells. Your healthcare provider will likely discuss the tumor's pathology report with you after surgery, which will provide more insight into the likelihood of recurrence and any further treatment that may be necessary, such as radiation or chemotherapy.
In conclusion, the decision to undergo surgery for a muscle tumor on your hand should be made in consultation with your healthcare provider, who can assess your specific situation and provide personalized recommendations. If surgery is indicated, it is crucial to follow up with your doctor post-operatively to monitor for any signs of recurrence and to manage any potential complications effectively. Always prioritize open communication with your healthcare team to ensure the best possible outcome for your health.
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