Subcutaneous Tumors: Are They Benign After 20 Years? - Surgery

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When it comes to subcutaneous tumors, particularly those that have been present for an extended period, such as 20 years, it is essential to understand the nature of these growths and the implications for treatment. Subcutaneous tumors can be benign or malignant, and their classification often depends on various factors, including their appearance, growth pattern, and the symptoms they may cause.

In your father's case, the presence of lumps on the waist and arms for over two decades suggests that these tumors are likely benign, especially if they have not changed significantly in size, shape, or character over the years. Common benign subcutaneous tumors include lipomas (fatty tumors), dermatofibromas, and cysts. These tumors typically do not pose a significant health risk and are often asymptomatic, meaning they do not cause pain or other issues.

However, it is crucial to have a proper evaluation by a healthcare professional, preferably a dermatologist or an oncologist, who can assess the tumors through physical examination and possibly imaging studies or biopsies. This evaluation will help determine the nature of the tumors and whether any further action is necessary.
If the tumors are confirmed to be benign, surgical removal may not be required unless they are causing discomfort, pain, or cosmetic concerns. The decision to operate can be complex, especially if there are multiple tumors. Surgeons often consider the risks associated with surgery, such as infection, scarring, and anesthesia complications, particularly in older patients or those with underlying health conditions.

In cases where the tumors are numerous, a careful approach is warranted. The surgeon may recommend removing only the most problematic tumors or those that have changed over time. If the tumors are stable and not causing any issues, a "watchful waiting" approach may be appropriate, where regular monitoring is done to ensure they do not change.

It's also important to note that while benign tumors are not cancerous, there is a small chance that a benign tumor can undergo malignant transformation over time. This is rare, but if there are any changes in the tumors, such as rapid growth, changes in color, or new symptoms, it is essential to seek medical advice promptly.

In summary, while the long-standing presence of subcutaneous tumors may suggest they are benign, a thorough evaluation by a healthcare professional is necessary to confirm their nature. If they are benign and asymptomatic, surgical intervention may not be required. However, if there are any concerns about changes in the tumors or if they are causing discomfort, surgical options can be discussed with a qualified surgeon. Regular follow-ups and monitoring are key in managing such conditions effectively.