Hard Lump in Lower Left Side: Should I See a Specialist? - Oncology

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There is a hard lump in the lower left side of the abdomen?


Hello, doctor! I have a hard lump on the outer side of my lower left back that has been there for several years.
It hurts when pressed.
I suspect it might be a lump from an injection I received in the past.
Should I consider having it surgically removed? Which specialty should I consult? Thank you!

Zhǔrèn, 50~59 year old female. Ask Date: 2009/02/05

Dr. Fan Sheng reply Oncology


Hello: The lump has been present for several years and is likely benign.
Please schedule an appointment with a general surgeon to determine if a biopsy is necessary.
Thank you!

Reply Date: 2009/02/05

More Info


When it comes to a hard lump in the lower left side of your abdomen, especially one that has been present for several years and causes pain when pressed, it is essential to approach this matter with caution and seek appropriate medical advice. Given your description, there are several potential causes for such a lump, including scar tissue from previous injections, lipomas (benign fatty tumors), or even more serious conditions such as hernias or lymphadenopathy.

Firstly, it is crucial to have a thorough evaluation by a healthcare professional. You should consider scheduling an appointment with a primary care physician or a specialist in general surgery. A primary care physician can perform an initial assessment and may refer you to a surgeon if necessary. If the lump is suspected to be related to a previous injection, a consultation with a specialist in pain management or a plastic surgeon may also be appropriate.

During your visit, the doctor will likely perform a physical examination and may recommend imaging studies such as an ultrasound or CT scan to better understand the nature of the lump. These imaging studies can help determine whether the lump is solid or fluid-filled, its size, and its relationship to surrounding tissues. This information is vital in deciding the next steps for treatment.

If the lump is confirmed to be a benign condition, such as a lipoma or scar tissue, and is not causing significant symptoms or complications, your doctor may recommend monitoring it rather than immediate surgical intervention. However, if the lump is painful, growing, or shows signs of infection (such as redness, warmth, or discharge), surgical removal may be indicated.

In terms of surgery, the decision to proceed will depend on various factors, including the lump's characteristics, your overall health, and the potential risks and benefits of the procedure. Surgical removal of a lump can often be performed as an outpatient procedure, meaning you would go home the same day. However, as with any surgery, there are risks involved, such as infection, bleeding, and scarring.

It is also essential to consider that while a hard lump may seem benign, any persistent changes in your body should be taken seriously. If you experience additional symptoms such as fever, unexplained weight loss, or changes in bowel or urinary habits, you should seek medical attention promptly.

In summary, it is advisable to see a healthcare professional to evaluate the hard lump in your lower left side. A primary care physician or a general surgeon would be the most appropriate specialists to consult. They can provide a thorough assessment and guide you on whether surgical intervention is necessary based on the findings. Remember, early evaluation and intervention can lead to better outcomes and peace of mind regarding your health.

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