Managing a Growing Tumor: What to Do About Your Arm Injury - Surgery

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Tumor


Doctor, I have a question.
When I was a child, I accidentally injured my left arm after receiving the BCG vaccine, which resulted in a rupture.
After healing, a tumor formed at the site.
In the past year or two, this small tumor has shown signs of increasing in size, and it is now about 5.5 centimeters.
What should I do?

kerhata, 30~39 year old female. Ask Date: 2006/02/23

Dr. Lin Kecheng reply Surgery


Hello Mr.
Kerhata: It is common to have a scar or a raised lesion after receiving the BCG vaccine, but the formation of a 5.5 cm lump is quite rare.
It is possible that your body is prone to keloid formation.
I recommend having a general surgeon or a plastic surgeon examine it before further discussion.
Wishing you good health.

Reply Date: 2006/02/23

More Info


When dealing with a growing tumor, especially one that has developed from a past injury, it is crucial to approach the situation with caution and seek appropriate medical advice. In your case, the tumor on your left arm, which has grown to approximately 5.5 cm over the past couple of years, warrants a thorough evaluation.


Understanding the Situation
1. Nature of the Tumor: Given that your tumor developed after an injury, it could be a benign growth such as a lipoma (a fatty tumor), a fibroma (a fibrous tissue tumor), or a more complex entity like a scar tissue-related tumor. However, the increase in size and any associated symptoms (such as pain or discomfort) can raise concerns about the nature of the tumor.

2. Symptoms to Monitor: It's essential to observe any changes in the tumor, including:
- Rapid growth
- Pain or tenderness
- Changes in color or texture
- Any new symptoms in the surrounding area (like swelling or redness)

Recommended Actions
1. Consult a Specialist: The first step is to consult with a healthcare professional, preferably an orthopedic surgeon or a dermatologist specializing in skin and soft tissue tumors. They can perform a physical examination and may recommend imaging studies such as an ultrasound or MRI to assess the tumor's characteristics and its relationship to surrounding tissues.

2. Biopsy: If there is any suspicion that the tumor may not be benign, a biopsy may be necessary. This procedure involves taking a small sample of the tumor tissue to be examined under a microscope. It is the definitive way to determine whether the tumor is benign or malignant.

3. Surgical Intervention: If the tumor is confirmed to be benign but is causing discomfort or functional impairment, surgical removal may be recommended. Even benign tumors can sometimes cause issues if they grow large enough or are located in a sensitive area.

4. Monitoring: If the tumor is benign and asymptomatic, your doctor may recommend a watchful waiting approach, where the tumor is monitored over time for any changes in size or symptoms.


Prognosis and Follow-Up
The prognosis for benign tumors is generally good, especially if they are removed surgically. However, if the tumor is malignant, the treatment plan will depend on the type and stage of cancer, which may include surgery, radiation therapy, or chemotherapy.


Resources for Further Information
You can find more information about tumors and their management from reputable medical sources such as:
- The American Cancer Society (cancer.org)
- The National Institutes of Health (nih.gov)
- The American Academy of Dermatology (aad.org)

Conclusion
In summary, it is essential to take the growth of your tumor seriously and seek medical evaluation. Early diagnosis and appropriate management can significantly affect outcomes. Do not hesitate to reach out to a healthcare provider to discuss your concerns and the best course of action for your situation. Remember, proactive management is key to ensuring your health and well-being.

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