Can I Have Surgery to Remove a Lump on My Thigh While Pregnant? - Oncology

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Is it possible to have surgery to remove a hard lump on the inner thigh while being pregnant?


Hello! Last summer, I developed a lump on the inner side of my thigh that resembled a lymph node.
When I consulted a doctor, they mentioned it was likely unrelated.
However, after more than six months, it has started to adhere to the skin, forming a hard mass about 2 cm in diameter.
It causes pressure-related pain that varies with the seasons.
I am currently pregnant; can I have it surgically removed now? Will it affect the fetus? Which specialist should I consult? Thank you for your response.

Adeline, 30~39 year old female. Ask Date: 2006/05/01

Dr. Chen Sirong reply Oncology


Hello: It is recommended that you consult a general surgeon for a diagnosis from the attending physician.
You can ask the doctor for detailed information in person, which will help you understand better.
Wishing you good health.

Reply Date: 2006/05/01

More Info


When it comes to the question of whether you can have surgery to remove a lump on your thigh while pregnant, there are several important factors to consider. First and foremost, the safety of both the mother and the fetus is paramount.
In general, surgery during pregnancy is approached with caution. The timing of the surgery, the type of procedure, and the potential risks involved are all critical considerations. If the lump you describe is a benign condition, such as a lipoma or a cyst, and it is not causing significant problems, your healthcare provider may recommend postponing the surgery until after you have given birth. This is primarily because any surgical procedure carries inherent risks, including infection, anesthesia complications, and the potential for premature labor.

However, if the lump is causing significant pain, discomfort, or has characteristics that raise concern for malignancy (such as rapid growth, firmness, or changes in appearance), your healthcare provider may consider it necessary to proceed with surgery. In such cases, the benefits of removing the lump may outweigh the risks associated with the procedure.
If surgery is deemed necessary, it is typically performed during the second trimester of pregnancy, as this period is generally considered the safest time for non-emergency surgeries. The first trimester carries a higher risk of miscarriage, and the third trimester poses risks related to preterm labor and the physical changes that occur as the pregnancy progresses.

In terms of the impact on the fetus, most studies suggest that surgery during pregnancy, particularly when performed in the second trimester, does not significantly increase the risk of adverse outcomes for the baby. However, every case is unique, and the specific circumstances surrounding your health and the nature of the lump will guide the decision-making process.

You should consult with your obstetrician or a maternal-fetal medicine specialist, who can provide guidance tailored to your situation. They may also collaborate with a surgeon to assess the lump and determine the best course of action. If the lump is suspected to be related to lymphatic tissue, a consultation with a specialist in general surgery or surgical oncology may also be appropriate.

In conclusion, while it is possible to have surgery during pregnancy, the decision should be made collaboratively with your healthcare team, weighing the risks and benefits carefully. If the lump is benign and manageable, it may be best to wait until after delivery. However, if it poses a significant risk or discomfort, timely intervention may be warranted. Always prioritize open communication with your healthcare providers to ensure the best outcomes for both you and your baby.

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