Irregular Tumors: When to Seek Medical Advice - Oncology

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Abnormal tumor


I have an irregular lump on my left cheek, about the size of a fingertip, which I discovered while washing my face.
The other side of my cheek does not have anything like this.
The lump is movable when I touch it, but it makes me feel uneasy.
I'm not sure which specialist to see.
Additionally, there is a tumor the size of a red bean under my ear.
At first, I thought it was a mosquito bite, but later realized it wasn't.
It has been there for a long time, and I'm really worried.
However, I lack the courage to see a doctor.
Will there be unsightly scars after surgery, or could it be cancer?

Wei Wei, 10~19 year old female. Ask Date: 2006/07/14

Dr. Chen Sirong reply Oncology


Hello: 1.
If the mass on the left cheek is movable and feels soft, it is likely a benign tumor.
2.
Most of the swelling below the ear is likely due to lymphadenopathy.
3.
It is difficult to make a definitive diagnosis based solely on verbal descriptions; regular outpatient follow-up or surgical intervention may be necessary to confirm whether it is benign or malignant.
4.
It is recommended to visit an outpatient clinic for a proper diagnosis and to determine the appropriate treatment.
Sincerely, Dr.
Chen Sih-Rong, Oncology.

Reply Date: 2006/07/14

More Info


When it comes to irregular tumors or lumps, especially in sensitive areas like the face, it is essential to approach the situation with caution and seek medical advice. The presence of a lump on your left cheek, which you described as being about the size of a finger segment and movable, could be a variety of things, ranging from benign conditions to more serious concerns. The fact that you have also noticed a smaller lump near your ear adds to the importance of getting a professional evaluation.


When to Seek Medical Advice
1. Duration and Changes: If the lump has been present for an extended period (more than a few weeks) without any signs of improvement, or if it has changed in size, shape, or color, it is advisable to consult a healthcare provider. Changes in the characteristics of a lump can be significant indicators of underlying issues.

2. Associated Symptoms: If you experience any additional symptoms such as pain, tenderness, redness, or if the lump is accompanied by fever or other systemic symptoms, these could be signs of infection or other medical conditions that require prompt attention.

3. Location and Mobility: The fact that the lump is movable is often a good sign, as many benign tumors (like lipomas or cysts) tend to be mobile. However, this does not rule out the possibility of malignancy, especially if there are concerning features.

4. Psychological Impact: Feeling anxious or worried about the lump is completely normal. It’s essential to address not only the physical aspects but also the emotional and psychological impacts of having an irregular tumor. Seeking medical advice can provide clarity and peace of mind.


Which Specialist to Consult
For lumps in the facial area, you would typically start with a visit to a dermatologist or an otolaryngologist (ENT specialist). These specialists can perform a thorough examination and may recommend imaging studies (like an ultrasound or CT scan) or a biopsy if necessary. A biopsy involves taking a small sample of the lump for pathological examination, which can help determine whether it is benign or malignant.


Concerns About Surgery and Scarring
Your concern about potential scarring from surgery is valid. Surgical procedures can indeed leave scars, but the extent of scarring often depends on several factors, including:
- Size and Location of the Tumor: Smaller tumors may require less invasive techniques, potentially resulting in less noticeable scars.

- Surgical Technique: Experienced surgeons often use techniques that minimize scarring, such as making incisions in natural skin folds or using sutures that dissolve over time.

- Post-operative Care: Following your surgeon's post-operative care instructions can significantly affect the healing process and the appearance of scars.


Cancer Concerns
While it’s natural to worry about the possibility of cancer, it’s important to remember that not all lumps are malignant. Many are benign and can be treated effectively. The best course of action is to have the lump evaluated by a healthcare professional who can provide a diagnosis and discuss treatment options if necessary.


Conclusion
In summary, if you have noticed irregular lumps on your face, it is crucial to seek medical advice sooner rather than later. A dermatologist or ENT specialist can provide a thorough evaluation and help alleviate your concerns. Remember, early detection and diagnosis are key to effective treatment, and addressing these issues can lead to better outcomes and peace of mind. Don’t let fear prevent you from seeking the help you need; your health is worth it.

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