Hard Lumps in the Abdomen: What Teens Should Know - Surgery

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There seems to be a hard lump in the left abdomen?


Hello Dr.
Lee: I am a 16-year-old high school student.
A few weeks ago, I suddenly discovered a hard lump near my left abdomen close to the waist.
My dad used to work in a hospital, and he mentioned that it could be a lipoma.
He also has developed 2 to 3 larger lumps near his kidneys, possibly due to long-term cellphone use.
I would like to ask the doctor, if I do not undergo surgery, will it have any impact on my health in the future?

Xiao Yu, 10~19 year old female. Ask Date: 2001/09/23

Dr. Li Junde reply Surgery


Mr.
Hsiao-Yu: Your concerns primarily relate to the nature of the tumor, as different locations can yield different outcomes.
Generally, tumors on the skin are classified as skin tumors, and their characteristics and growth patterns can be observed, making it easier to diagnose them as benign or malignant.
Tumors located subcutaneously that are firmer are generally more concerning.
If they grow rapidly, surgical intervention should be pursued promptly.
Softer tumors, such as cysts, lipomas, or sebaceous cysts, are usually benign; however, if they also exhibit rapid growth, surgery should be performed early to prevent any unusual changes or excessive growth that may complicate treatment.
I recommend that if you notice any changes in size or characteristics, you should consult a surgeon as soon as possible for excision and pathological examination.

Reply Date: 2001/09/23

More Info


Dear Teenager,
Thank you for reaching out with your concerns about the hard lump you’ve discovered in your abdomen. It’s understandable to feel anxious when you notice something unusual in your body, especially at your age when your body is still developing. Let’s break down your situation and provide some clarity.

Firstly, the lump you’ve described could potentially be a lipoma, which is a benign (non-cancerous) tumor made up of fat tissue. Lipomas are generally soft, movable, and painless, and they can occur anywhere in the body, including the abdomen. They are quite common and usually do not require treatment unless they cause discomfort or cosmetic concerns. However, it’s essential to have any new lump evaluated by a healthcare professional to rule out other possibilities, including cysts, fibromas, or even more serious conditions.

Regarding your father’s experience with similar lumps, it’s important to note that while some conditions can have a genetic component, not all lumps are related to hereditary factors. The fact that your father has developed lumps does not necessarily mean that you will experience the same issues. Each individual’s health is influenced by a variety of factors, including genetics, lifestyle, and environmental exposures.

Now, concerning your question about the implications of not undergoing surgery if the lump is indeed a lipoma: in most cases, if the lump is confirmed to be benign and is not causing any symptoms, it is safe to monitor it rather than pursue surgical removal. Regular check-ups with a healthcare provider can help ensure that the lump remains stable and does not change in size or characteristics. If it becomes painful, grows significantly, or changes in appearance, then surgical intervention might be considered.

It’s also crucial to maintain a healthy lifestyle, which includes regular physical activity, a balanced diet, and avoiding smoking or excessive alcohol consumption. These factors can contribute to overall health and potentially reduce the risk of developing various health issues, including tumors.

In summary, while the lump you’ve found may be benign, it’s essential to consult with a healthcare provider for a proper diagnosis. They may recommend imaging studies, such as an ultrasound, to assess the lump further. If it is determined to be a lipoma or another benign entity, you may not need surgery unless it becomes bothersome. Regular monitoring and maintaining a healthy lifestyle are key components of managing your health.

Please don’t hesitate to seek medical advice, as it’s always better to be informed and proactive about your health. Take care, and I wish you all the best!
Sincerely,
Doctor Q&A Teams

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